{"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":210414,"network_name":["AMERICAN INDIAN ALASKAN NATIVE NETWORK","PROV NETWORK - COLLABORATIVE CARE","PROV NETWORK - SPECIALIZED BEHAVIORAL HEALTH AGENCY"],"provider_groups":[{"npi":[1063274173],"tin":{"type":"ein","value":"352427830","business_name":"KEYSAR CENTER OF MASSAGE FOR THE MEDICALLY FRAGILE"}},{"npi":[1083113963,1124140116,1124364906,1134697964,1164634697,1184980591,1326861394,1336496231,1366648222,1548445505,1598302176,1730587817,1811483480,1821212671,1902828155],"tin":{"type":"ein","value":"465481919","business_name":"SENIOR HEALTHCARE ASSOCIATES_1730854829"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82652","description":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82652","description":"1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"17-HYDROXYPREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84143","description":"17-HYDROXYPREGNENOLONE","negotiated_rates":[{"provider_references":[210414],"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":20.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"17-HYDROXYPREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84143","description":"17-HYDROXYPREGNENOLONE","negotiated_rates":[{"provider_references":[210414],"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":20.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99461","description":"1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99460","description":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99460","description":"1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99463","description":"1ST HOSP/BIRTHING CENTER NB ADMIT  and  DSCHG SM DAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.612,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.966,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.966,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99221","description":"1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99468","description":"1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99492","description":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99492","description":"1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93745","description":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93745","description":"1ST SET-UP  and  PRGRMG PHYS/QHP OF WEARABLE CVDFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99494","description":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99494","description":"1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82306","description":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82306","description":"25 HYDROXY INCLUDES FRACTIONS IF PERFORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77295","description":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77295","description":"3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76376","description":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76376","description":"3D RENDERING W/INTERP  and  POSTPROCESS SUPERVISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76377","description":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76377","description":"3D RENDERING W/INTERP and POSTPROC DIFF WORK STATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.81,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/NORMAL SALINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7042","description":"5 PCT  DEXTROSE/NORMAL SALINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/WATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7060","description":"5 PCT  DEXTROSE/WATER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"5 PCT  DEXTROSE/WATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7060","description":"5 PCT  DEXTROSE/WATER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.546,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2225.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2225.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2420.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2420.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2485.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2485.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2578.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2578.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2699.2937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2699.2937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2710.5164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2710.5164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2890.6141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2890.6141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2940.2812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2940.2812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3134.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3134.2403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33782","description":"A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2225.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2225.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2420.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2420.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2485.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2485.7618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2578.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2578.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2699.2937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2699.2937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2710.5164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2710.5164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2890.6141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2890.6141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2940.2812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2940.2812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3134.2403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3134.2403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33783","description":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2405.8334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2405.8334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2616.0921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2616.0921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.5999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.5999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2668.5649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2668.5649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2787.2717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2787.2717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2879.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2879.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2905.1101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2905.1101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3093.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3093.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3136.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3136.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3342.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3342.7955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33783","description":"A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2405.8334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2405.8334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2616.0921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2616.0921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.5999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.5999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2668.5649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2668.5649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2787.2717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2787.2717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2879.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2879.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2905.1101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2905.1101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3093.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3093.2573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3136.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3136.2109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3342.7955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3342.7955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38747","description":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38747","description":"ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49083","description":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49083","description":"ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49082","description":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49082","description":"ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51845","description":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51845","description":"ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33251","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":997.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33251","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":997.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":997.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33250","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":891.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33250","description":"ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":891.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":891.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20982","description":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2220.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2220.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20982","description":"ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2220.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2220.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50593","description":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2584.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2584.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2925.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2925.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2935.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2935.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3235.6454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3235.6454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3320.8177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3320.8177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3387.4859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3387.4859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":340.6892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":340.6892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3671.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3671.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3832.3859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3832.3859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4236.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4236.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":444.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":444.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50593","description":"ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2584.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2584.9959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2925.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2925.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2935.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2935.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3235.6454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3235.6454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3320.8177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3320.8177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3387.4859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3387.4859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":340.6892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":340.6892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3671.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3671.1931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3832.3859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3832.3859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.5466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4236.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4236.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":444.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":444.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  LVR TUM PRQ RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47382","description":"ABLTJ 1 OR GT  LVR TUM PRQ RF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2305.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2305.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  LVR TUM PRQ RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47382","description":"ABLTJ 1 OR GT  LVR TUM PRQ RF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2305.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2305.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50592","description":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1768.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50592","description":"ABLTJ 1 OR GT  RENAL TUMOR PRQ UNI RADIOFREQUENCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1768.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1768.393,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2331.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2331.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2657.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2657.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3077.3585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3077.3585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47381","description":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":928.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47381","description":"ABLTJ OPN 1 OR GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":928.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47380","description":"ABLTJ OPN 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":907.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ OPN 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47380","description":"ABLTJ OPN 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":907.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30802","description":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30802","description":"ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30801","description":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30801","description":"ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6955","description":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12088.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12088.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6955","description":"ABOVE ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12088.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12088.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5200","description":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4122.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4122.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5200","description":"ABOVE KNEE MOLD SOCKT 1 AXIS CONSTANT FRICTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4122.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4122.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5321","description":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4380.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4380.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5321","description":"ABOVE KNEE OPEN END SACH FT ENDO SYS 1 AXIS KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4380.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4380.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5230","description":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4978.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4978.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5230","description":"ABOVE KNEE PROXIMAL FEM FOCAL DEFIC SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4978.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4978.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5220","description":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3722.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3722.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5220","description":"ABOVE KNEE SHORT PROSTH W/ARTIC ANK/FOOT DYN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3722.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3722.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5210","description":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3274.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3274.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5210","description":"ABOVE KNEE SHRT PROSTH NO KNEE JNT NO ANK JNT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3274.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3274.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION 1 LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15786","description":"ABRASION 1 LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION 1 LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15786","description":"ABRASION 1 LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15787","description":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15787","description":"ABRASION EACH ADDITIONAL 4 LESIONS OR LESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6250","description":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3343.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3343.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6250","description":"ABVE ELB MOLD DBL WALL SCKT INTRL LCK ELB FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3343.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3343.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6500","description":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3597.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3597.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6500","description":"ABVE ELB MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3597.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3597.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":697.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2512","description":"ACCESS SPEECH GENERATING DEVICE MOUNTING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":697.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6548","description":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","negotiated_rates":[{"provider_references":[210414],"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":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6548","description":"ACCESSORY CSTM GRAD COMP GMT SIL BAND ANY SIZE","negotiated_rates":[{"provider_references":[210414],"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":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6593","description":"ACCESSORY FOR GRAD CPRSN GMT/WRAP ADJ STRAPS NOS","negotiated_rates":[{"provider_references":[210414],"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":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2599","description":"ACCESSORY FOR SPEECH GENERATING DEVICE NOC","negotiated_rates":[{"provider_references":[210414],"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":"ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27120","description":"ACETABULOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27120","description":"ACETABULOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY RESECTION FEMORAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27122","description":"ACETABULOPLASTY RESECTION FEMORAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":709.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETABULOPLASTY RESECTION FEMORAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27122","description":"ACETABULOPLASTY RESECTION FEMORAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":709.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.335,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7608","description":"ACETYLCYSTEINE INHAL SOL NONCOMP UNIT DOSE PER G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACID CONCENTRATE SOLUTION HEMODIAL PER GALLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4709","description":"ACID CONCENTRATE SOLUTION HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACNE SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"ACNE SURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92570","description":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92570","description":"ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC REFLEX THRESHOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92568","description":"ACOUSTIC REFLEX THRESHOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACOUSTIC REFLEX THRESHOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92568","description":"ACOUSTIC REFLEX THRESHOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23130","description":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23130","description":"ACROMIOPLASTY/ACROMIONECTOMY PRTL  Plus -LIGAMENT RLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTAT CONCENTRATE SOLUTION HEMODIAL PER GALLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4708","description":"ACTAT CONCENTRATE SOLUTION HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80406","description":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80406","description":"ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80402","description":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80402","description":"ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80400","description":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80400","description":"ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95803","description":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95803","description":"ACTIGRAPHY TESTING RECORDING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTINOTHERAPY ULTRAVIOLET LIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96900","description":"ACTINOTHERAPY ULTRAVIOLET LIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTINOTHERAPY ULTRAVIOLET LIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96900","description":"ACTINOTHERAPY ULTRAVIOLET LIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85307","description":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85307","description":"ACTIVATED PROTEIN C APC RESISTANCE ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM 1ST 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97810","description":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM 1ST 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM EACH ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97811","description":"ACUPUNCTURE 1 OR GT  NDLS W/O ESTIM EACH ADDL 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78278","description":"ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE HEPATITIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80074","description":"ACUTE HEPATITIS PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE HEPATITIS PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80074","description":"ACUTE HEPATITIS PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78456","description":"ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82016","description":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82016","description":"ACYLCARNITINES QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82017","description":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"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":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":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82017","description":"ACYLCARNITINES QUANTIATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"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":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":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97155","description":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97155","description":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97153","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"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":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97153","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"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":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1085","description":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1085","description":"ADD CTLSO/SCOLIO ORTHO OUTRIG BIL-VERTICL EXT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1025","description":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1025","description":"ADD CTLSO/SCOLIOS ORTHOS KYPHOS PAD FLOATING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.459,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1100","description":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1100","description":"ADD CTLSO/SCOLIOS ORTHOS RING FLNGE PLSTC/LEATHR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1110","description":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1110","description":"ADD CTLSO/SCOLIOS RING FLNGE MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1040","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1040","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMB/LUMB RIB PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1030","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1030","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS LUMBAR BOLSTER PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1070","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1070","description":"ADD CTLSO/SCOLIOSIS ORTHOSIS TRAPEZIUS SLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.767,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.767,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5966","description":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1480.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5966","description":"ADD ENDO HIP DISRTC FLXIBL PROTVE OUTR SURF COVR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1480.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5840","description":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4085.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4085.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5840","description":"ADD ENDO KNEE-SHIN 4-BAR LINK/MX-AXIAL PNEUMAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4085.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4085.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5828","description":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2858.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2858.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5828","description":"ADD ENDO KNEE-SHIN FL SWING AND STANCE PHASE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2858.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2858.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5826","description":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3223.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3223.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5826","description":"ADD ENDO KNEE-SHIN HYDRAUL SWNG MIN HI ACTV FRME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3223.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3223.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5961","description":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4910.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4910.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5961","description":"ADD ENDO SYS POLYCNTRC HIP JOINT ROTATION CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4910.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4910.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5964","description":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1141.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5964","description":"ADD ENDOSKEL AK FLEXIBLE PROTVE OUTR SURF COVER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1141.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1141.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5925","description":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5925","description":"ADD ENDOSKEL AK-DISARTIC/HIP DISARTIC MNL LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5962","description":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":793.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5962","description":"ADD ENDOSKEL BK FLXIBLE PROTVE OUTR SURF COVRING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":793.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5824","description":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1552.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5824","description":"ADD ENDOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1552.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5812","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5818","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":971.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5812","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5818","description":"ADD ENDOSKEL KNEE-SHIN FRICT SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":971.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5814","description":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3690.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3690.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5814","description":"ADD ENDOSKEL KNEE-SHIN HYDRAULIC SWING MECH LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3690.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3690.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5816","description":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5816","description":"ADD ENDOSKEL KNEE-SHIN MECH STANCE PHASE LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5811","description":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5811","description":"ADD ENDOSKEL KNEE-SHIN MNL LOCK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5822","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1723.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5822","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1723.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5830","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2492.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2492.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5830","description":"ADD ENDOSKEL KNEE-SHIN PNEUMAT/SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2492.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2492.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5848","description":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1068.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5848","description":"ADD ENDOSKEL KNEE-SHIN SYS FLUID STANCE EXTENSN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1068.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5810","description":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5810","description":"ADD ENDOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5920","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5920","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC ALIGNABLE SYSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5850","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5850","description":"ADD ENDOSKEL SYS AK/HIP DISARTIC KNEE EXT ASST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5855","description":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5855","description":"ADD ENDOSKEL SYS HIP DISARTIC MECH HIP EXT ASST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5950","description":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":907.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5950","description":"ADD ENDOSKEL SYSTEM ABVE KNEE AK ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":907.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":907.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5910","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5910","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ALIGNABLE SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5940","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":631.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5940","description":"ADD ENDOSKEL SYSTEM BELOW KNEE ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":631.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":631.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5960","description":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5960","description":"ADD ENDOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5712","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5712","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5711","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5711","description":"ADD EXOSKEL KNEE-SHIN 1 AXIS MNL LOCK ULTRA-LGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.436,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5726","description":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1967.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5726","description":"ADD EXOSKEL KNEE-SHIN EXT JOINT FL SWING CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1967.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1967.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5728","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2618.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2618.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5728","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING AND STANCE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2618.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2618.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5724","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1625.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5724","description":"ADD EXOSKEL KNEE-SHIN FLUID SWING PHASE CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1625.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1625.591,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5722","description":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1073.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5722","description":"ADD EXOSKEL KNEE-SHIN PNEUMAT SWING FRICT CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1073.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5716","description":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5716","description":"ADD EXOSKEL KNEE-SHIN POLYCNTRC MECH STANCE LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.682,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5710","description":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5710","description":"ADD EXOSKEL KNEE-SHIN SYSTEM 1 AXIS MANUAL LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5714","description":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5714","description":"ADD EXOSKEL KNEE-SHIN VARIBL FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5790","description":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":756.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5790","description":"ADD EXOSKEL SYSTEM ABVE KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":756.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":756.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5785","description":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5785","description":"ADD EXOSKEL SYSTEM BELW KNEE ULTRA-LGHT MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5795","description":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1086.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5795","description":"ADD EXOSKEL SYSTEM HIP DISARTIC ULTRA-LGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1086.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5780","description":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1158.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5780","description":"ADD EXOSKL KNEE-SHIN PNEUMAT/HYDRA PNEUMAT CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1158.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5718","description":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5718","description":"ADD EXOSKL KNEE-SHIN POLYCNTRC FRICT SWING CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0859","description":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1157.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0859","description":"ADD HALO PROC MRI COMPAT SYS RINGS AND PINS ANY MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1157.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1157.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0861","description":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0861","description":"ADD HALO PROC REPLCMT LINER/INTERFCE MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2425","description":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2425","description":"ADD KNEE JNT DISC/DIAL LOCK ADJ KNEE FLX EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2430","description":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2430","description":"ADD KNEE JNT RATCHET LOCK KNEE EXT EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2415","description":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2415","description":"ADD KNEE LOCK W/INTEGRATED RLSE MECH MATL EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.439,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5648","description":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5648","description":"ADD LOW EXT ABOVE KNEE AIR FL GEL/ Equal to  CUSHN SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5631","description":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5631","description":"ADD LOW EXT ABVE KNEE/KNEE DISARTIC ACRYLC SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5646","description":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5646","description":"ADD LOW EXT BELOW KNEE AIR FL GEL/ Equal to  CUSHN SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5614","description":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1676.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1676.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5614","description":"ADD LOW EXT EXOSKEL SYS AK-DISARTC 4-BAR PNEUMAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1676.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1676.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5685","description":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5685","description":"ADD LOW EXT PROS BELW KNEE SUSP/SEAL SLEEVE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5857","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8463.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8463.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5857","description":"ADD LOW EXT PROS KNEE-SHIN SYS SWING PHASE ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8463.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8463.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5650","description":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5650","description":"ADD LOW EXT TOTAL CONTACT ABVE KNEE/KNEE DISARTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.855,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5696","description":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5696","description":"ADD LOW EXTREM ABOVE KNEE/KNEE DISARTIC PELV JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5694","description":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5694","description":"ADD LOW EXTREM ABVE KNEE PELV CNTRL BELT PADD AND LN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5692","description":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5692","description":"ADD LOW EXTREM ABVE KNEE PELV CONTROL BELT LIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5697","description":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5697","description":"ADD LOW EXTREM ABVE KNEE/KNEE DISARTIC PELV BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5670","description":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5670","description":"ADD LOW EXTREM BELOW KNEE MOLD SUPRACONDYLR SUSP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5680","description":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5680","description":"ADD LOW EXTREM BELOW KNEE THIGH LACER NONMOLDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5690","description":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5690","description":"ADD LOW EXTREM BELOW KNEE WAIST BELT PADD AND  LINED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5677","description":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5677","description":"ADD LOW EXTREM BELW KNEE KNEE JNT POLYCNTRC PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2188","description":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2188","description":"ADD LOW EXTREM FRACTURE ORTHOSIS QUADRILAT BRIM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2250","description":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":450.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2250","description":"ADD LOW EXTREM FT PLATE MOLD PT MDL STIRUP ATTCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":450.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.098,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2182","description":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2182","description":"ADD LOW EXTREM FX ORTHOSIS DROP LOCK KNEE JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2184","description":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2184","description":"ADD LOW EXTREM FX ORTHOSIS LTD MOTION KNEE JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5653","description":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5653","description":"ADD LOW EXTREM KNEE DISARTIC XPNDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2395","description":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2395","description":"ADD LOW EXTREM OFFSET KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2850","description":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2850","description":"ADD LOW EXTREM ORTHOS FEM LENGTH SOCK FX/EQUL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2795","description":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2795","description":"ADD LOW EXTREM ORTHOSIS KNEE CNTRL FULL KNEECAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2810","description":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2810","description":"ADD LOW EXTREM ORTHOSIS KNEE CONTROL CONDYLR PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2780","description":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2780","description":"ADD LOW EXTREM ORTHOSIS NONCORROSIVE FINISH BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2750","description":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2750","description":"ADD LOW EXTREM ORTHOSIS PLATING CHROME/NICKL-BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2840","description":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2840","description":"ADD LOW EXTREM ORTHOSIS TIB LENGTH SOCK FX/ Equal to  EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2650","description":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2650","description":"ADD LOW EXTREM PELV AND THOR CONTROL GLUTEAL PAD EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2620","description":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2620","description":"ADD LOW EXTREM PELV CNTRL HIP JOINT HEVY-DUTY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2630","description":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2630","description":"ADD LOW EXTREM PELVIC CONTROL BAND  AND  BELT UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.501,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2340","description":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2340","description":"ADD LOW EXTREM PRETIBL SHELL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5990","description":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1802.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1802.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5990","description":"ADD LOW EXTREM PROSTH USER ADJUSTBLE HEEL HT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1802.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1802.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2350","description":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":955.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2350","description":"ADD LOW EXTREM PROSTHETIC TYPE SOCKT MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":955.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2240","description":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2240","description":"ADD LOW EXTREM ROUND CALIPER AND PLATE ATTACHMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5661","description":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5661","description":"ADD LOW EXTREM SOCKT INSERT MULTIDUROMETER SYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2385","description":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2385","description":"ADD LOW EXTREM STRAIT KNEE JNT HEVY DUTY EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5652","description":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5652","description":"ADD LOW EXTREM SUCTN SUSP ABV KNEE/KNEE DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5630","description":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5630","description":"ADD LOW EXTREM SYMES TYPE EXPANDABLE WALL SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5634","description":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5634","description":"ADD LOW EXTREM SYMES TYPE POST OPENING SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5632","description":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5632","description":"ADD LOW EXTREM SYMES TYPE PTB BRIM DESIGN SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2540","description":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2540","description":"ADD LOW EXTREM THI/WEIGHT BEAR LACER MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2550","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2550","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2530","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2530","description":"ADD LOW EXTREM THIGH/WEIGHT BEAR LACER NONMOLDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2680","description":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2680","description":"ADD LOW EXTREM THOR CNTRL LAT SUPPORT UPRIGHTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2670","description":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2670","description":"ADD LOW EXTREM THOR CONTROL PARASPINAL UPRIGHTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5617","description":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5617","description":"ADD LOW EXTREMITY QUICK CHG SLF-ALIGN U AK/BK EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.918,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5695","description":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5695","description":"ADD LOW EXTRM ABOVE KNEE PELV CNTRL SLV NEOPRENE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5616","description":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1374.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5616","description":"ADD LOW EXTRM ENDO AK UNIVERSAL MXPLX SYS FRICT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1374.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1374.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5613","description":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2480.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5613","description":"ADD LOW EXTRM ENDO AK-DISARTIC 4-BAR W/HYDRAULIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2480.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2622","description":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2622","description":"ADD LOW EXTRM PELV CNTRL HIP JNT ADJUSTBL FLX EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5665","description":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5665","description":"ADD LOW EXTRM SOCKT INSRT MXIDUROMETER BELW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5698","description":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5698","description":"ADD LOW EXTRMITY AK/KNEE DISRTC SILESIAN BANDGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5672","description":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5672","description":"ADD LOWER EXTREM BELOW KNEE REMV MED BRIM SUSP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5676","description":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5676","description":"ADD LOWER EXTREM BELW KNEE KNEE JNT 1 AXIS PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5688","description":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5688","description":"ADD LOWER EXTREMITY BELOW KNEE WAIST BELT WEBBNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5671","description":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5671","description":"ADD LOWER EXTRM BELOW/ABOVE KNEE SUSP LOCK MECH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5651","description":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1215.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5651","description":"ADD LW EXT ABVE KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1215.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1215.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5645","description":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":807.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5645","description":"ADD LW EXT BELW KNEE FLXIBLE INNR SOCKT EXT FRME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":807.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2186","description":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2186","description":"ADD LW EXT FX ORTH ADJ MOT KNEE JNT LERMAN TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5643","description":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1808.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5643","description":"ADD LW EXT HIP DISARTIC FLX INNR SOCKT EXT FRAME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1808.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1808.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5649","description":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2036.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2036.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5649","description":"ADD LW EXT ISCHIAL CONTAINMENT/NARROW M-L SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2036.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2036.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2820","description":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2820","description":"ADD LW EXT ORTH SFT INTERFCE MOLD BELW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2192","description":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2192","description":"ADD LW EXT ORTHOSIS HIP JNT THI FLNGE AND PELV BELT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2830","description":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2830","description":"ADD LW EXT ORTHOSIS SOFT INTERFCE MOLD ABVE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2570","description":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":466.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2570","description":"ADD LW EXT PELV HIP JNT CLEVIS TYPE TWO PSTN JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":466.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2600","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2600","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2610","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2610","description":"ADD LW EXT PELV HIP JNT CLEVIS/THRUST BEAR LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2628","description":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2122.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2122.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2628","description":"ADD LW EXT PELV METL FRME RECIP HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2122.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2122.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2627","description":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1628.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1628.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2627","description":"ADD LW EXT PELV PLSTC MOLD PT MDL HIP JNT AND CABLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1628.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1628.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2375","description":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2375","description":"ADD LW EXT TORSION CNTRL ANK JNT AND HALF STIRUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2380","description":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2380","description":"ADD LW EXT TORSION CNTRL STRAIT KNEE JNT EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2270","description":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2270","description":"ADD LW EXT VARUS/VALGUS CORR STRAP PAD/LINE PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5682","description":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5682","description":"ADD LW EXTRM BELW KNEE THI LACER GLUTL/ISCH MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2220","description":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2220","description":"ADD LW EXTRM DORSIFLX and PLANTR ASST/RSIST EA JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5611","description":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1785.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1785.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5611","description":"ADD LW EXTRM ENDO AK-DISRTC 4-BAR LINK W/FRICT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1785.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1785.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5610","description":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2688.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2688.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5610","description":"ADD LW EXTRM ENDO SYS ABVE KNEE HYDRACADENCE SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2688.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2688.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2180","description":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2180","description":"ADD LW EXTRM FX ORTHOS PLSTC SHOE INSRT ANK JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.254,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.254,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2525","description":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1232.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2525","description":"ADD LW EXTRM ISCH M-L BRIM MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1232.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2624","description":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2624","description":"ADD LW EXTRM PELV HIP JNT ADJ FLX EXT ABDUCT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2230","description":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2230","description":"ADD LW EXTRM SPLIT FLAT CALIPRR STIRRUPS  AND  PLATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2500","description":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2500","description":"ADD LW EXTRM THI/WT BEAR GLUTL/ISCH WT BEAR RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2510","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2510","description":"ADD LW EXTRM THI/WT BEAR QUADRI-LAT BRIM MOLD PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2275","description":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2275","description":"ADD LW EXTRM VARUS/VULGUS CORR PLSTC MOD PADD/LN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5782","description":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4191.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4191.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5782","description":"ADD LW LIMB PROS RESIDUL LIMB MGMT SYS HEVY DUTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4191.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4191.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5781","description":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3975.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3975.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5781","description":"ADD LW LIMB PROS RESIDUL LIMB VOL MGMT SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3975.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3975.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5968","description":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3610.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3610.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5968","description":"ADD LW LIMB PROSTH MX-AXIAL ANK W/SWING PHASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3610.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3610.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5988","description":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1984.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5988","description":"ADD LW LIMB PROSTH VERTCL SHOCK RDUC PYLN FEATUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1984.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.928,"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":[210414],"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":"ADD UP EXT PROS ELB LOCK MECH EXCL SCKT INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6698","description":"ADD UP EXT PROS ELB LOCK MECH EXCL SCKT INSRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7402","description":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7402","description":"ADD UP EXT PROS SD/INTRSCAPULR THOR ULTRALT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6890","description":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6890","description":"ADD UP EXT PROSTH GLOV TERM DEVC PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7404","description":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7404","description":"ADD UP EXTREM PROS ABOVE ELB DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7401","description":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7401","description":"ADD UP EXTREM PROS AE DISART ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7403","description":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7403","description":"ADD UP EXTREM PROS BE/WRIST DISART ACRYLIC MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7400","description":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7400","description":"ADD UP EXTREM PROS BELOW ELB/WD ULTRALIGHT MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.535,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7405","description":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7405","description":"ADD UP EXTREM PROS SD/INTERSCAP THOR ACRYLC MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6611","description":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6611","description":"ADD UPPER EXT PROS EXTERNAL PWR ADDITIONAL SWTCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3995","description":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3995","description":"ADD UPPER EXTREM ORTHOSIS SOCK FRACTURE/EQUAL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDING WALKER PREVIOUSLY APPLIED CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29440","description":"ADDING WALKER PREVIOUSLY APPLIED CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1120","description":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1120","description":"ADDITION CTLSO SCOLIOSIS ORTHOSIS COVER UPRT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1010","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1010","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS AXILLA SLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.132,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1020","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1020","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS KYPHOSIS PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1090","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1090","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS LUMBAR SLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1060","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1060","description":"ADDITION CTLSO/SCOLIOSIS ORTHOSIS THORACIC PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.052,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.052,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2300","description":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2300","description":"ADDITION LOW EXTREM ABDUCT BAR JOINTED ADJUSTBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5678","description":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5678","description":"ADDITION LOW EXTREM BELOW KNEE JOINT COVERS PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5668","description":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5668","description":"ADDITION LOW EXTREM BELOW KNEE MOLDED DIST CUSHN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2190","description":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2190","description":"ADDITION LOW EXTREM FRACTURE ORTHOSIS WAIST BELT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2785","description":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2785","description":"ADDITION LOW EXTREM ORTHOSIS DROP LOCK RETAIN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2760","description":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2760","description":"ADDITION LOW EXTREM ORTHOSIS EXT PER EXT PER BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2640","description":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2640","description":"ADDITION LOW EXTREM PELV CONTROL BAND  AND  BELT BIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5636","description":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5636","description":"ADDITION LOW EXTREM SYMES TYPE MED OPENING SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5642","description":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":836.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5642","description":"ADDITION LOWER EXTREM ABOVE KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":836.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5629","description":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5629","description":"ADDITION LOWER EXTREM BELOW KNEE ACRYLIC SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5666","description":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5666","description":"ADDITION LOWER EXTREM BELOW KNEE CUFF SUSPENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5638","description":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5638","description":"ADDITION LOWER EXTREM BELOW KNEE LEATHER SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5647","description":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5647","description":"ADDITION LOWER EXTREM BELOW KNEE SUCTION SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2210","description":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2210","description":"ADDITION LOWER EXTREM DORSIFLEX ASSIST EA JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.935,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5640","description":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5640","description":"ADDITION LOWER EXTREM KNEE DISARTIC LEATHR SOCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2390","description":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2390","description":"ADDITION LOWER EXTREM OFFSET KNEE JOINT EA JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2397","description":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2397","description":"ADDITION LOWER EXTREM ORTHOSIS SUSPENSION SLEEVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2580","description":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2580","description":"ADDITION LOWER EXTREM PELV CONTROL PELV SLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2260","description":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2260","description":"ADDITION LOWER EXTREM REINFORCED SOLID STIRRUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5658","description":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5658","description":"ADDITION LOWER EXTREM SOCKET INSERT ABOVE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5655","description":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5655","description":"ADDITION LOWER EXTREM SOCKET INSERT BELOW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5656","description":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5656","description":"ADDITION LOWER EXTREM SOCKT INSERT KNEE DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5628","description":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5628","description":"ADDITION LOWER EXTREM TEST SOCKET HEMIPELVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5626","description":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5626","description":"ADDITION LOWER EXTREM TEST SOCKET HIP DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5622","description":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5622","description":"ADDITION LOWER EXTREM TEST SOCKET KNEE DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2660","description":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2660","description":"ADDITION LOWER EXTREM THOR CONTROL THOR BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2310","description":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2310","description":"ADDITION LOWER EXTREMITY ABDUCTION BAR STRAIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5644","description":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5644","description":"ADDITION LOWER EXTREMITY ABOVE KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5686","description":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5686","description":"ADDITION LOWER EXTREMITY BELOW KNEE BK BACK CHCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5684","description":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5684","description":"ADDITION LOWER EXTREMITY BELOW KNEE FORK STRAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5637","description":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5637","description":"ADDITION LOWER EXTREMITY BELOW KNEE TOTAL CONTCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5639","description":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1278.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5639","description":"ADDITION LOWER EXTREMITY BELOW KNEE WOOD SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1278.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2200","description":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2200","description":"ADDITION LOWER EXTREMITY LTD ANK MOTION EA JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5624","description":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5624","description":"ADDITION LOWER EXTREMITY TEST SOCKET ABOVE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5620","description":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5620","description":"ADDITION LOWER EXTREMITY TEST SOCKET BELOW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6810","description":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6810","description":"ADDITION TERMINAL DEVICE PRECISION PINCH DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1260","description":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1260","description":"ADDITION TLSO ANTERIOR THORACIC DEROTATION PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1080","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1080","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS OUTRIGGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1050","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1050","description":"ADDITION TO CTLSO/SCOLIOSIS ORTHOSIS STERNAL PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT DROP LOCK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2405","description":"ADDITION TO KNEE JOINT DROP LOCK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT DROP LOCK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2405","description":"ADDITION TO KNEE JOINT DROP LOCK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2492","description":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2492","description":"ADDITION TO KNEE JOINT LIFT LOOP DROP LOCK RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2335","description":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2335","description":"ADDITION TO LOWER EXTREMITY ANTERIOR SWING BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2360","description":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2360","description":"ADDITION TO LOWER EXTREMITY EXTENDED STEEL SHANK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2265","description":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2265","description":"ADDITION TO LOWER EXTREMITY LONG TONGUE STIRRUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2280","description":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2280","description":"ADDITION TO LOWER EXTREMITY MOLDED INNER BOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2370","description":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2370","description":"ADDITION TO LOWER EXTREMITY PATTEN BOTTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5654","description":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5654","description":"ADDITION TO LOWER EXTREMITY SOCKET INSERT SYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5618","description":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5618","description":"ADDITION TO LOWER EXTREMITY TEST SOCKET SYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1220","description":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1220","description":"ADDITION TO TLSO ANTERIOR THORACIC EXTENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1210","description":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1210","description":"ADDITION TO TLSO LATERAL THORACIC EXTENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1290","description":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1290","description":"ADDITION TO TLSO LOW LATERAL TROCHANTERIC PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1270","description":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1270","description":"ADDITION TO TLSO LOW PROFILE ABDOMINAL PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1250","description":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1250","description":"ADDITION TO TLSO LOW PROFILE ANTERIOR ASIS PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1280","description":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1280","description":"ADDITION TO TLSO LOW PROFILE RIB GUSSET EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LUMBAR DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1240","description":"ADDITION TO TLSO LUMBAR DEROTATION PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO LUMBAR DEROTATION PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1240","description":"ADDITION TO TLSO LUMBAR DEROTATION PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1230","description":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.034,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1230","description":"ADDITION TO TLSO MILWAUKEE TYPE SUPERSTRUCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.034,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6698","description":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6698","description":"ADDN TO UPR EXT PROS LOCK MECH EXCLUD SKT INSERT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42830","description":"ADENOIDECTOMY PRIMARY  LT AGE 12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42830","description":"ADENOIDECTOMY PRIMARY  LT AGE 12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42831","description":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42831","description":"ADENOIDECTOMY PRIMARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42836","description":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42836","description":"ADENOIDECTOMY SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOIDECTOMY SECONDARY LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42835","description":"ADENOIDECTOMY SECONDARY LT AGE 12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82030","description":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82030","description":"ADENOSINE 5-MONOPHOSPHATE CYCLIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHES DISC EXCHG SYS  and / W/TRACHEOSTOMA VALV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7506","description":"ADHES DISC EXCHG SYS  and / W/TRACHEOSTOMA VALV EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4364","description":"ADHESIVE LIQUID OR EQUAL ANY TYPE PER OUNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5126","description":"ADHESIVE OR NON-ADHESIVE; DISK OR FOAM PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14000","description":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14000","description":"ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14001","description":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":528.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14001","description":"ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":528.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14301","description":"ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14061","description":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14061","description":"ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14040","description":"ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14302","description":"ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14020","description":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14020","description":"ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14060","description":"ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.852,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14041","description":"ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14021","description":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14021","description":"ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE ANGLE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0040","description":"ADJUSTABLE ANGLE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTABLE ANGLE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0040","description":"ADJUSTABLE ANGLE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20693","description":"ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7006","description":"ADMIN SET W/SMALL VOLUME FILTR PNEUMAT NEBULIZR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.242,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7003","description":"ADMN SET SM VOL NONFILTR PNEUMAT NEBULIZR DISPBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7005","description":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7005","description":"ADMN SET W/SM VOL NONFILTR NEBULIZR NON-DISPBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL IMAGING CORTEX  and /MEDULLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78075","description":"ADRENAL IMAGING CORTEX  and /MEDULLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENAL IMAGING CORTEX  and /MEDULLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78075","description":"ADRENAL IMAGING CORTEX  and /MEDULLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60545","description":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":782.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60545","description":"ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":782.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60540","description":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60540","description":"ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENOCORTICOTROPIC HORMONE ACTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82024","description":"ADRENOCORTICOTROPIC HORMONE ACTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADRENOCORTICOTROPIC HORMONE ACTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82024","description":"ADRENOCORTICOTROPIC HORMONE ACTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4543","description":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4543","description":"ADULT SIZE DISP INCONTINENCE PROD ABOVE XL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92653","description":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92653","description":"AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92650","description":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","negotiated_rates":[{"provider_references":[210414],"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":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92650","description":"AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS","negotiated_rates":[{"provider_references":[210414],"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":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2112","description":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2112","description":"AFO FX ORTHO TIB FX ORTHO SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1910","description":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1910","description":"AFO POST 1 BAR CLASP ATTCH SHOE COUNTER PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO RIGD ANT TIBL TOT CARB FIBER/EQUL MATL PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1932","description":"AFO RIGD ANT TIBL TOT CARB FIBER/EQUL MATL PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1952","description":"AFO SPIRAL PLASTIC/OTH MATL PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[210414],"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":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2116","description":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2116","description":"AFO TIB FX ORTHOSIS RIGID PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2114","description":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2114","description":"AFO TIBL FX ORTHOS SEMI-RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4631","description":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1517.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1517.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4631","description":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1517.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1517.021,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFP-L3 FRACTION ISOFORM  and  TOTAL AFP W/RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82107","description":"AFP-L3 FRACTION ISOFORM  and  TOTAL AFP W/RATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AFP-L3 FRACTION ISOFORM  and  TOTAL AFP W/RATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82107","description":"AFP-L3 FRACTION ISOFORM  and  TOTAL AFP W/RATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGGLUTININS FEBRILE EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86000","description":"AGGLUTININS FEBRILE EACH ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGGLUTININS FEBRILE EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86000","description":"AGGLUTININS FEBRILE EACH ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2605.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2605.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/BONE GRF ONLAY/NTRPSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2605.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2605.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21127","description":"AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2605.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2605.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21125","description":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1686.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21125","description":"AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1686.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.564,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.953,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR FLUIDIZED BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"AIR FLUIDIZED BED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIR FLUIDIZED BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0194","description":"AIR FLUIDIZED BED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY RESISTANCE BY OSCILLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94728","description":"AIRWAY RESISTANCE BY OSCILLOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AIRWAY RESISTANCE BY OSCILLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94728","description":"AIRWAY RESISTANCE BY OSCILLOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN ISCHEMIA MODIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82045","description":"ALBUMIN ISCHEMIA MODIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN ISCHEMIA MODIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82045","description":"ALBUMIN ISCHEMIA MODIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82040","description":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82040","description":"ALBUMIN SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.356,"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":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL OR PEROXIDE PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4244","description":"ALCOHOL OR PEROXIDE PER PINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4245","description":"ALCOHOL WIPES PER BOX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80408","description":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80408","description":"ALDOSTERONE SUPPRESSION EVALUATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6199","description":"ALGINATE/OTH FIBER GEL DRESS WND FIL STERL 6 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.226,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6197","description":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6197","description":"ALGINATE/OTH FIBER GELL DRESS PAD  GT 16 LT or equal to 48","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6198","description":"ALGINATE/OTH FIBER GELL DRESS WND PAD  GT  48 SQ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5984","description":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5984","description":"ALL ENDOSKEL LOW EXT PROSTH AXIAL ROTAT UNIT ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5985","description":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5985","description":"ALL ENDOSKEL LOW EXTREM PROSTH DYN PROSTH PYLN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5982","description":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":773.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5982","description":"ALL EXOSKEL LOW EXTREM PROSTH AXIAL ROTAT UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":773.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5970","description":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5970","description":"ALL LOW EXTREM PROSTH FT EXTERNAL KEEL SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5986","description":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":773.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5986","description":"ALL LOW EXTREM PROSTH MULTI-AXIAL ROTATION UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":773.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5971","description":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5971","description":"ALL LOWER EXTREM PROS SACH FOOT REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5981","description":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3315.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3315.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5981","description":"ALL LOWER EXTREM PROSTH FLEX-WALK SYSTEM/EQUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3315.356,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3315.356,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5978","description":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5978","description":"ALL LOWER EXTREM PROSTH FT MULTI-AXIAL ANK/FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5974","description":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5974","description":"ALL LOWER EXTREM PROSTH FT SINGLE AXIS ANK/FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5976","description":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5976","description":"ALL LOWER EXTREM PROSTHESES ENERGY STORING FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.633,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5980","description":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4103.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4103.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5980","description":"ALL LOWER EXTREMITY PROSTHESES FLEX-FOOT SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4103.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4103.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5972","description":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5972","description":"ALL LOWER EXTREMITY PROSTHESES FOOT FLEX KEEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5699","description":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5699","description":"ALL LOWER EXTREMITY PROSTHESES SHOULDER HARNESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5975","description":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5975","description":"ALL LW EXTRM PRSTH COMB 1 AXIS ANK AND FLXBL KEEL FT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5979","description":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3050.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3050.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5979","description":"ALL LW EXTRM PRSTH MX-AXL ANK DYN RSPN FT 1 PECE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3050.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3050.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95018","description":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95018","description":"ALL TSTG PERQ  and  IQ W/DRUG/BIOL IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95017","description":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95017","description":"ALL TSTG PERQ  and  IQ W/VENOMS IMMT RXN W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86003","description":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86003","description":"ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86005","description":"ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86005","description":"ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.018,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86008","description":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86008","description":"ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86001","description":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86001","description":"ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLG TEST PERQ  and  IC DRUG/BIOL IMMED REACT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95018","description":"ALLG TEST PERQ  and  IC DRUG/BIOL IMMED REACT W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLG TSTG PERQ  and  IC VENOMS IMMED REACT W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95017","description":"ALLG TSTG PERQ  and  IC VENOMS IMMED REACT W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGENEIC LYMPHOCYTE INFUSIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38242","description":"ALLOGENEIC LYMPHOCYTE INFUSIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGENEIC LYMPHOCYTE INFUSIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38242","description":"ALLOGENEIC LYMPHOCYTE INFUSIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20931","description":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20931","description":"ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN PHENOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82104","description":"ALPHA-1-ANTITRYPSIN PHENOTYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN PHENOTYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82104","description":"ALPHA-1-ANTITRYPSIN PHENOTYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-1-ANTITRYPSIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82103","description":"ALPHA-1-ANTITRYPSIN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"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":"ALPHA-1-ANTITRYPSIN TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82103","description":"ALPHA-1-ANTITRYPSIN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"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":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82106","description":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82106","description":"ALPHA-FETOPROTEIN AMNIOTIC FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82105","description":"ALPHA-FETOPROTEIN SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALPHA-FETOPROTEIN SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82105","description":"ALPHA-FETOPROTEIN SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS ROUTINE DISPOSABLE SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0398","description":"ALS ROUTINE DISPOSABLE SUPPLIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS SPCLIZED SERVICE DISPBL SPL; ESOPH INTUBAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0396","description":"ALS SPCLIZED SERVICE DISPBL SPL; ESOPH INTUBAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS SPECIALIZED SERVICE DISPBL SPL; IV DRUG TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0394","description":"ALS SPECIALIZED SERVICE DISPBL SPL; IV DRUG TX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0392","description":"ALS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41830","description":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41830","description":"ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41874","description":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41874","description":"ALVEOLOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0780","description":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0780","description":"AMB INFUS PUMP MECH REUSABLE INFUS  LT  8 HOURS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMB OXYGEN AND O2 SUPPLIES LIFE SUSTAINING SITUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0422","description":"AMB OXYGEN AND O2 SUPPLIES LIFE SUSTAINING SITUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  REC SCAN ALYS I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93784","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  REC SCAN ALYS I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  REC SCAN ALYS I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93784","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  REC SCAN ALYS I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  RECORDING ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93786","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  RECORDING ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  RECORDING ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93786","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  RECORDING ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  REVIEW W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93790","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  REVIEW W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  REVIEW W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93790","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  REVIEW W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93788","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  SCANNING A/R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMBULATORY BP MNTR W/SW 24 HR Plus  SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93788","description":"AMBULATORY BP MNTR W/SW 24 HR Plus  SCANNING A/R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINES VAGINAL FLUID QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82120","description":"AMINES VAGINAL FLUID QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINES VAGINAL FLUID QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82120","description":"AMINES VAGINAL FLUID QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82127","description":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82127","description":"AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82131","description":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82131","description":"AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82136","description":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82136","description":"AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS 6 OR GT  AMINO ACIDS QUANTITATIVE EA SPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82139","description":"AMINO ACIDS 6 OR GT  AMINO ACIDS QUANTITATIVE EA SPE","negotiated_rates":[{"provider_references":[210414],"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":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":"AMINO ACIDS 6 OR GT  AMINO ACIDS QUANTITATIVE EA SPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82139","description":"AMINO ACIDS 6 OR GT  AMINO ACIDS QUANTITATIVE EA SPE","negotiated_rates":[{"provider_references":[210414],"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":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":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82128","description":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82128","description":"AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID DELTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82135","description":"AMINOLEVULINIC ACID DELTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID DELTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82135","description":"AMINOLEVULINIC ACID DELTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7308","description":"AMINOLEVULINIC ACID HCL TOP ADMN 20 PCT  1 U DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.022,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS DIAGNOSIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59000","description":"AMNIOCENTESIS DIAGNOSIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS DIAGNOSIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59000","description":"AMNIOCENTESIS DIAGNOSIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59001","description":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59001","description":"AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC FLU SCAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82143","description":"AMNIOTIC FLU SCAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIOTIC FLU SCAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82143","description":"AMNIOTIC FLU SCAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27888","description":"AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR and RESCJ NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24925","description":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24925","description":"AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25907","description":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25907","description":"AMP F/ARM THRU RADIUS and ULNA SEC CLOSURE/SCAR RE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26952","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26952","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26951","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26951","description":"AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25905","description":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25905","description":"AMP FOREARM THRU RADIUS  AND  ULNA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25909","description":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25909","description":"AMP FOREARM THRU RADIUS AND ULNA RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27881","description":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27881","description":"AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27886","description":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27886","description":"AMP LEG THRU TIBIA AND FIBULA RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27884","description":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27884","description":"AMP LEG THRU TIBIA and FIBULA SEC CLOSURE/SCAR REV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26910","description":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26910","description":"AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27591","description":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":622.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27591","description":"AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":622.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":622.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27594","description":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27594","description":"AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24920","description":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24920","description":"AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24930","description":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24930","description":"AMPUTATION ARM THRU HUMERUS RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24931","description":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24931","description":"AMPUTATION ARM THRU HUMERUS W/IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24900","description":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24900","description":"AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28800","description":"AMPUTATION FOOT MIDTARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOOT TRANSMETARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28805","description":"AMPUTATION FOOT TRANSMETARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25900","description":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25900","description":"AMPUTATION FOREARM THROUGH RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27880","description":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27880","description":"AMPUTATION LEG THROUGH TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27882","description":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27882","description":"AMPUTATION LEG THRU TIBIA AND FIBULA OPEN CIRCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION METATARSAL W/TOE SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28810","description":"AMPUTATION METATARSAL W/TOE SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27590","description":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27590","description":"AMPUTATION THIGH THROUGH FEMUR ANY LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27596","description":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27596","description":"AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27592","description":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27592","description":"AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28825","description":"AMPUTATION TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28820","description":"AMPUTATION TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92603","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92603","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92604","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92604","description":"ANALYSIS COCHLEAR IMPLT 7 YR OR GT  SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92601","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92602","description":"ANALYSIS COCHLEAR IMPLT PT  LT 7 YR SBSQ REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92640","description":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92640","description":"ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61711","description":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1637.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1637.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61711","description":"ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1637.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1637.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47765","description":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1884.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1884.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47765","description":"ANAST INTRAHEPATC DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1884.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1884.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33606","description":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1090.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33606","description":"ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1090.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47785","description":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2008.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2008.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47785","description":"ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2008.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2008.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47780","description":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1543.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47780","description":"ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS  AND  GI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1543.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47760","description":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1404.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1404.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47760","description":"ANAST XTRHEPATC BILIARY DUCTS  AND  GI TRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1404.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1404.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33768","description":"ANASTOMOSIS CAVOPULMARY SEC SUPRIOR VENA CAVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL HYPOGLOSSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64868","description":"ANASTOMOSIS FACIAL HYPOGLOSSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL HYPOGLOSSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64868","description":"ANASTOMOSIS FACIAL HYPOGLOSSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64866","description":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":796.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64866","description":"ANASTOMOSIS FACIAL-SPINAL ACCESSORY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":796.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTANEDIOL GLUCURONIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82154","description":"ANDROSTANEDIOL GLUCURONIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTANEDIOL GLUCURONIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82154","description":"ANDROSTANEDIOL GLUCURONIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTENEDIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82157","description":"ANDROSTENEDIONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTENEDIONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82157","description":"ANDROSTENEDIONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82160","description":"ANDROSTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82160","description":"ANDROSTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.484,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"00938","description":"ANES PX MALE GENITALIA INSJ PENILE PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01933","description":"ANESTHESIA THER IVNTL RAD PX INTRACRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75733","description":"ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75731","description":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75731","description":"ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75716","description":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75716","description":"ANGIOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75710","description":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75710","description":"ANGIOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75756","description":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75756","description":"ANGIOGRAPHY INTERNAL MAMMARY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75736","description":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75736","description":"ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75743","description":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75743","description":"ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75741","description":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75741","description":"ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75705","description":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75705","description":"ANGIOGRAPHY SPINAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75726","description":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75726","description":"ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35400","description":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35400","description":"ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN I-CONVERTING ENZYME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82164","description":"ANGIOTENSIN I-CONVERTING ENZYME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN I-CONVERTING ENZYME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82164","description":"ANGIOTENSIN I-CONVERTING ENZYME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82163","description":"ANGIOTENSIN II","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGIOTENSIN II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82163","description":"ANGIOTENSIN II","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75898","description":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75898","description":"ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75746","description":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75746","description":"ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75774","description":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75774","description":"ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87003","description":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87003","description":"ANIMAL INOCULATION SMALL ANIMAL W/OBS and DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1906","description":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1906","description":"ANK FT ORTHOS MX-LIG ANK SUPT PREFB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOS SPIRAL PLSTC/OTH MATL PRFAB W/FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1951","description":"ANK FT ORTHOS SPIRAL PLSTC/OTH MATL PRFAB W/FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK FT ORTHOSIS PLSTC/OTH MATL W/ANK JNT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1971","description":"ANK FT ORTHOSIS PLSTC/OTH MATL W/ANK JNT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5060","description":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3620.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3620.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5060","description":"ANK SYMES METL FRME MOLD LEATHR SOCKT ARTIC ANK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3620.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3620.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4350","description":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4350","description":"ANKLE CONTROL ORTHOSIS STIRRUP STYL RIGID PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE DISARTICULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27889","description":"ANKLE DISARTICULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1932","description":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1932","description":"ANKLE FO RIGID ANT TIB TC FIBER/ Equal to MATL CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1971","description":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1971","description":"ANKLE FOOT ORTHOSIS ANKLE JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1930","description":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1930","description":"ANKLE FOOT ORTHOSIS PLASTIC/OTH MATL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.471,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1951","description":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1951","description":"ANKLE FOOT ORTHOSIS SPIRAL PREFABRICATED CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":832.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1902","description":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1902","description":"ANKLE ORTH ANKLE GAUNT/SIM PREFAB OFF-THE-SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5703","description":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2480.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5703","description":"ANKLE SYMES MOLD PT MODEL SACH FOOT REPL ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2480.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLDED SOCKET SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5050","description":"ANKLE SYMES MOLDED SOCKET SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2728.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2728.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANKLE SYMES MOLDED SOCKET SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5050","description":"ANKLE SYMES MOLDED SOCKET SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2728.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2728.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99170","description":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99170","description":"ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46700","description":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46700","description":"ANOPLASTY PLASTIC OPERATION STRICTURE ADULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46705","description":"ANOPLASTY PLASTIC OPERATION STRICTURE INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL MYOMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45108","description":"ANORECTAL MYOMECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANORECTAL MYOMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45108","description":"ANORECTAL MYOMECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46611","description":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46611","description":"ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46612","description":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46612","description":"ANOSC RMVL MULT TUMORS CAUTERY/SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46615","description":"ANOSCOPY ABLATION LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46615","description":"ANOSCOPY ABLATION LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46614","description":"ANOSCOPY CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46614","description":"ANOSCOPY CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46600","description":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46600","description":"ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46607","description":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT W/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT W/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46607","description":"ANOSCOPY DX W/HRA  and CHEM AGNTS ENHANCEMENT W/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46606","description":"ANOSCOPY W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46606","description":"ANOSCOPY W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46604","description":"ANOSCOPY W/DILATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46604","description":"ANOSCOPY W/DILATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46608","description":"ANOSCOPY W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46608","description":"ANOSCOPY W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46610","description":"ANOSCOPY W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANOSCOPY W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46610","description":"ANOSCOPY W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45990","description":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45990","description":"ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"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":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"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":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"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":[210414],"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":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51841","description":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51841","description":"ANT VESICOURETHROPEXY/URETHROPEXY COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51840","description":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51840","description":"ANT VESICOURETHROPEXY/URETHROPEXY SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74425","description":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74425","description":"ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ  and  INTERPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 4-6 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59425","description":"ANTEPARTUM CARE ONLY 4-6 VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 4-6 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59425","description":"ANTEPARTUM CARE ONLY 4-6 VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 7 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59426","description":"ANTEPARTUM CARE ONLY 7 OR GT  VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1132.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTEPARTUM CARE ONLY 7 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59426","description":"ANTEPARTUM CARE ONLY 7 OR GT  VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1132.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57240","description":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57240","description":"ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22845","description":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22845","description":"ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22846","description":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22846","description":"ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22847","description":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22847","description":"ANTERIOR INSTRUMENTATION 8 OR GT  VERTEBRAL SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR TIBIAL TUBERCLEPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27418","description":"ANTERIOR TIBIAL TUBERCLEPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTERIOR TIBIAL TUBERCLEPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27418","description":"ANTERIOR TIBIAL TUBERCLEPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INHIBITOR PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7198","description":"ANTI-INHIBITOR PER IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-INHIBITOR PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7198","description":"ANTI-INHIBITOR PER IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86148","description":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86148","description":"ANTI-PHOSPHATIDYLSERINE ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ACTINOMYCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86602","description":"ANTIBODY ACTINOMYCES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ACTINOMYCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86602","description":"ANTIBODY ACTINOMYCES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86603","description":"ANTIBODY ADENOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86603","description":"ANTIBODY ADENOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86606","description":"ANTIBODY ASPERGILLUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86606","description":"ANTIBODY ASPERGILLUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86609","description":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86609","description":"ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BARTONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86611","description":"ANTIBODY BARTONELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BARTONELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86611","description":"ANTIBODY BARTONELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BLASTOMYCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86612","description":"ANTIBODY BLASTOMYCES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BLASTOMYCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86612","description":"ANTIBODY BLASTOMYCES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORDETELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86615","description":"ANTIBODY BORDETELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORDETELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86615","description":"ANTIBODY BORDETELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86617","description":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86617","description":"ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86618","description":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86618","description":"ANTIBODY BORRELIA BURGDORFERI LYME DISEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA RELAPSING FEVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86619","description":"ANTIBODY BORRELIA RELAPSING FEVER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BORRELIA RELAPSING FEVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86619","description":"ANTIBODY BORRELIA RELAPSING FEVER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BRUCELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86622","description":"ANTIBODY BRUCELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY BRUCELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86622","description":"ANTIBODY BRUCELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CAMPYLOBACTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86625","description":"ANTIBODY CAMPYLOBACTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CAMPYLOBACTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86625","description":"ANTIBODY CAMPYLOBACTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CANDIDA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86628","description":"ANTIBODY CANDIDA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CANDIDA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86628","description":"ANTIBODY CANDIDA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86631","description":"ANTIBODY CHLAMYDIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86631","description":"ANTIBODY CHLAMYDIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86632","description":"ANTIBODY CHLAMYDIA IGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CHLAMYDIA IGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86632","description":"ANTIBODY CHLAMYDIA IGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COCCIDIOIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86635","description":"ANTIBODY COCCIDIOIDES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COCCIDIOIDES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86635","description":"ANTIBODY COCCIDIOIDES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COXIELLA BURNETII Q FEVER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86638","description":"ANTIBODY COXIELLA BURNETII Q FEVER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY COXIELLA BURNETII Q FEVER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86638","description":"ANTIBODY COXIELLA BURNETII Q FEVER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CRYPTOCOCCUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86641","description":"ANTIBODY CRYPTOCOCCUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CRYPTOCOCCUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86641","description":"ANTIBODY CRYPTOCOCCUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86644","description":"ANTIBODY CYTOMEGALOVIRUS CMV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86644","description":"ANTIBODY CYTOMEGALOVIRUS CMV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86645","description":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86645","description":"ANTIBODY CYTOMEGALOVIRUS CMV IGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY DIPHTHERIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86648","description":"ANTIBODY DIPHTHERIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY DIPHTHERIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86648","description":"ANTIBODY DIPHTHERIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EHRLICHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86666","description":"ANTIBODY EHRLICHIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EHRLICHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86666","description":"ANTIBODY EHRLICHIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86651","description":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86651","description":"ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86652","description":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86652","description":"ANTIBODY ENCEPHALITIS EASTERN EQUINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS ST. LOUIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86653","description":"ANTIBODY ENCEPHALITIS ST. LOUIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS ST. LOUIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86653","description":"ANTIBODY ENCEPHALITIS ST. LOUIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86654","description":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86654","description":"ANTIBODY ENCEPHALITIS WESTRN EQUINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENTEROVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86658","description":"ANTIBODY ENTEROVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ENTEROVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86658","description":"ANTIBODY ENTEROVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86663","description":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86663","description":"ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86664","description":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86664","description":"ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86665","description":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86665","description":"ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FRANCISELLA TULARENSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86668","description":"ANTIBODY FRANCISELLA TULARENSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FRANCISELLA TULARENSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86668","description":"ANTIBODY FRANCISELLA TULARENSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86671","description":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86671","description":"ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY GIARDIA LAMBLIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86674","description":"ANTIBODY GIARDIA LAMBLIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY GIARDIA LAMBLIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86674","description":"ANTIBODY GIARDIA LAMBLIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HAEMOPHILUS INFLUENZA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86684","description":"ANTIBODY HAEMOPHILUS INFLUENZA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HAEMOPHILUS INFLUENZA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86684","description":"ANTIBODY HAEMOPHILUS INFLUENZA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELICOBACTER PYLORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86677","description":"ANTIBODY HELICOBACTER PYLORI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELICOBACTER PYLORI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86677","description":"ANTIBODY HELICOBACTER PYLORI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86682","description":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86682","description":"ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86694","description":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86694","description":"ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86695","description":"ANTIBODY HERPES SMPLX TYPE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86695","description":"ANTIBODY HERPES SMPLX TYPE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86696","description":"ANTIBODY HERPES SMPLX TYPE 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HERPES SMPLX TYPE 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86696","description":"ANTIBODY HERPES SMPLX TYPE 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HISTOPLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86698","description":"ANTIBODY HISTOPLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HISTOPLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86698","description":"ANTIBODY HISTOPLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86701","description":"ANTIBODY HIV-1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86701","description":"ANTIBODY HIV-1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86703","description":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86703","description":"ANTIBODY HIV-1 AND HIV-2 SINGLE RESULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86702","description":"ANTIBODY HIV-2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HIV-2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86702","description":"ANTIBODY HIV-2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.656,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86687","description":"ANTIBODY HTLV-I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86687","description":"ANTIBODY HTLV-I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-II","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86688","description":"ANTIBODY HTLV-II","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV-II","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86688","description":"ANTIBODY HTLV-II","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86689","description":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86689","description":"ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86021","description":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86021","description":"ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86022","description":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86022","description":"ANTIBODY IDENTIFICATION PLATELET ANTIBODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86023","description":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86023","description":"ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY INFLUENZA VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86710","description":"ANTIBODY INFLUENZA VIRUS","negotiated_rates":[{"provider_references":[210414],"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":8.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY INFLUENZA VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86710","description":"ANTIBODY INFLUENZA VIRUS","negotiated_rates":[{"provider_references":[210414],"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":8.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEGIONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86713","description":"ANTIBODY LEGIONELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEGIONELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86713","description":"ANTIBODY LEGIONELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEISHMANIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86717","description":"ANTIBODY LEISHMANIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEISHMANIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86717","description":"ANTIBODY LEISHMANIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEPTOSPIRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86720","description":"ANTIBODY LEPTOSPIRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LEPTOSPIRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86720","description":"ANTIBODY LEPTOSPIRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LISTERIA MONOCYTOGENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86723","description":"ANTIBODY LISTERIA MONOCYTOGENES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LISTERIA MONOCYTOGENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86723","description":"ANTIBODY LISTERIA MONOCYTOGENES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86727","description":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86727","description":"ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUCORMYCOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86732","description":"ANTIBODY MUCORMYCOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUCORMYCOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86732","description":"ANTIBODY MUCORMYCOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUMPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86735","description":"ANTIBODY MUMPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MUMPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86735","description":"ANTIBODY MUMPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MYCOPLSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86738","description":"ANTIBODY MYCOPLSM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY MYCOPLSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86738","description":"ANTIBODY MYCOPLSM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NEISSERIA MENINGITIDIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86741","description":"ANTIBODY NEISSERIA MENINGITIDIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NEISSERIA MENINGITIDIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86741","description":"ANTIBODY NEISSERIA MENINGITIDIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NOCARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86744","description":"ANTIBODY NOCARDIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY NOCARDIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86744","description":"ANTIBODY NOCARDIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PARVOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86747","description":"ANTIBODY PARVOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PARVOVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86747","description":"ANTIBODY PARVOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PLASMODIUM MALARIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86750","description":"ANTIBODY PLASMODIUM MALARIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PLASMODIUM MALARIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86750","description":"ANTIBODY PLASMODIUM MALARIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PROTOZOA NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86753","description":"ANTIBODY PROTOZOA NES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY PROTOZOA NES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86753","description":"ANTIBODY PROTOZOA NES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86756","description":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86756","description":"ANTIBODY RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RICKETTSIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86757","description":"ANTIBODY RICKETTSIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RICKETTSIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86757","description":"ANTIBODY RICKETTSIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86759","description":"ANTIBODY ROTAVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86759","description":"ANTIBODY ROTAVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86762","description":"ANTIBODY RUBELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86762","description":"ANTIBODY RUBELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBEOLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86765","description":"ANTIBODY RUBEOLA","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY RUBEOLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86765","description":"ANTIBODY RUBEOLA","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SALMONELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86768","description":"ANTIBODY SALMONELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SALMONELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86768","description":"ANTIBODY SALMONELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86850","description":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86850","description":"ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SHIGELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86771","description":"ANTIBODY SHIGELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY SHIGELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86771","description":"ANTIBODY SHIGELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TETANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86774","description":"ANTIBODY TETANUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TETANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86774","description":"ANTIBODY TETANUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86777","description":"ANTIBODY TOXOPLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86777","description":"ANTIBODY TOXOPLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86778","description":"ANTIBODY TOXOPLASMA IGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TOXOPLASMA IGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86778","description":"ANTIBODY TOXOPLASMA IGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86780","description":"ANTIBODY TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86780","description":"ANTIBODY TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.649,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TRICHINELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86784","description":"ANTIBODY TRICHINELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY TRICHINELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86784","description":"ANTIBODY TRICHINELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VARICELLA-ZOSTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86787","description":"ANTIBODY VARICELLA-ZOSTER","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VARICELLA-ZOSTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86787","description":"ANTIBODY VARICELLA-ZOSTER","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86790","description":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86790","description":"ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86789","description":"ANTIBODY WEST NILE VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86789","description":"ANTIBODY WEST NILE VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS IGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86788","description":"ANTIBODY WEST NILE VIRUS IGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY WEST NILE VIRUS IGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86788","description":"ANTIBODY WEST NILE VIRUS IGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY YERSINIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86793","description":"ANTIBODY YERSINIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIBODY YERSINIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86793","description":"ANTIBODY YERSINIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8597","description":"ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"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":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86880","description":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86880","description":"ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86885","description":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86885","description":"ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86886","description":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86886","description":"ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86038","description":"ANTINUCLEAR ANTIBODIES ANA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86038","description":"ANTINUCLEAR ANTIBODIES ANA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86039","description":"ANTINUCLEAR ANTIBODIES ANA TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTINUCLEAR ANTIBODIES ANA TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86039","description":"ANTINUCLEAR ANTIBODIES ANA TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86063","description":"ANTISTREPTOLYSIN O SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86063","description":"ANTISTREPTOLYSIN O SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86060","description":"ANTISTREPTOLYSIN O TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ANTISTREPTOLYSIN O TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86060","description":"ANTISTREPTOLYSIN O TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.424,"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":[210414],"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"}]}]},{"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":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81411","description":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1188.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":864.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81411","description":"AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1188.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":864.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81410","description":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81410","description":"AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":606.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33800","description":"AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":606.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75630","description":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75630","description":"AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75625","description":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75625","description":"AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75605","description":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75605","description":"AORTOGRAPHY THORACIC SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75600","description":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75600","description":"AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOPLASTY SUPRAVALVULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33417","description":"AORTOPLASTY SUPRAVALVULAR STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1024.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AORTOPLASTY SUPRAVALVULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33417","description":"AORTOPLASTY SUPRAVALVULAR STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1024.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81201","description":"APC GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APC GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81201","description":"APC GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APNEA MONITOR WITH RECORDING FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0619","description":"APNEA MONITOR WITH RECORDING FEATURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.477,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLIPOPROTEIN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82172","description":"APOLIPOPROTEIN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APOLIPOPROTEIN EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82172","description":"APOLIPOPROTEIN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.557,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20696","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":746.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20696","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT 1ST and SUBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":746.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20697","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20697","description":"APP MLTPLN UNI XTRNL FIX STRTCTC ADJMT EXCHANGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15274","description":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15274","description":"APP SKN SUB GRFT T/A/L AREA GT or equal to 100SCM ADL 100S","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15271","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15271","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM  OR LT 1ST 25","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15272","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15272","description":"APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15273","description":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":337.9503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":337.9503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":378.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":378.3988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15273","description":"APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.3743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":337.9503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":337.9503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":378.3988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":378.3988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44955","description":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44955","description":"APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44960","description":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44960","description":"APPENDEC RPTD APPENDIX ABSC/PRITONITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"APPENDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44950","description":"APPENDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29450","description":"APPL CLUBFOOT CAST MOLDING/MNPJ LONG/SHORT LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20660","description":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20660","description":"APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20664","description":"APPL HALO 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21100","description":"APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20664","description":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20664","description":"APPL HALO CRANIAL 6 OR GT  PINS THIN SKULL OSTEOLOGY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29325","description":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29325","description":"APPL HIP SPICA CAST ONE and ONE-HALF SPICA/BOTH LEGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21110","description":"APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29581","description":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29581","description":"APPL MLTLAYR CMPRN SYS LEG BELW KNE W/ANKLE and FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29581","description":"APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 OR GT  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97014","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97014","description":"APPL MODALITY 1 OR GT  AREAS ELEC STIMJ UNATTENDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 OR GT  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97033","description":"APPL MODALITY 1 OR GT  AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97018","description":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97018","description":"APPL MODALITY 1 OR GT  AREAS PARAFFIN BATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97012","description":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97012","description":"APPL MODALITY 1 OR GT  AREAS TRACTION MECHANICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 OR GT  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ULTRAVIOLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97028","description":"APPL MODALITY 1 OR GT  AREAS ULTRAVIOLET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS ULTRAVIOLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97028","description":"APPL MODALITY 1 OR GT  AREAS ULTRAVIOLET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97016","description":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97016","description":"APPL MODALITY 1 OR GT  AREAS VASOPNEUMATIC DEVICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97034","description":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97034","description":"APPL MODALITY 1 Plus  AREAS CONTRAST BATHS EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97032","description":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97032","description":"APPL MODALITY 1 Plus  AREAS ESTIM EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97036","description":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97036","description":"APPL MODALITY 1 Plus  AREAS HUBBARD TANK EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97033","description":"APPL MODALITY 1 Plus  AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS IONTOPHORESIS EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97033","description":"APPL MODALITY 1 Plus  AREAS IONTOPHORESIS EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97035","description":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97035","description":"APPL MODALITY 1 Plus  AREAS ULTRASOUND EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96377","description":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96377","description":"APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61800","description":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61800","description":"APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29040","description":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29040","description":"APPLICATION BODY CAST SHO TO HIPS W/HEAD MINERVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER HIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29046","description":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29046","description":"APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29040","description":"APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29044","description":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29044","description":"APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER TO HIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER TO HIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION BODY CAST SHOULDER TO HIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29035","description":"APPLICATION BODY CAST SHOULDER TO HIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29075","description":"APPLICATION CAST ELBOW FINGER SHORT ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29075","description":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29075","description":"APPLICATION CAST ELBOW TO FINGER SHORT ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-8","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-EIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-EIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FIGURE-OF-EIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29049","description":"APPLICATION CAST FIGURE-OF-EIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29086","description":"APPLICATION CAST FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29086","description":"APPLICATION CAST FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29085","description":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29085","description":"APPLICATION CAST HAND  AND  LOWER FOREARM GAUNTLET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST PLASTER VELPEAU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29058","description":"APPLICATION CAST PLASTER VELPEAU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST PLASTER VELPEAU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29058","description":"APPLICATION CAST PLASTER VELPEAU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29065","description":"APPLICATION CAST SHOULDER HAND LONG ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER SPICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29055","description":"APPLICATION CAST SHOULDER SPICA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER SPICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29055","description":"APPLICATION CAST SHOULDER SPICA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER TO HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29065","description":"APPLICATION CAST SHOULDER TO HAND LONG ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CAST SHOULDER TO HAND LONG ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29065","description":"APPLICATION CAST SHOULDER TO HAND LONG ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH TO ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH TO ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION CYLINDER CAST THIGH TO ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29365","description":"APPLICATION CYLINDER CAST THIGH TO ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29131","description":"APPLICATION FINGER SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29131","description":"APPLICATION FINGER SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29130","description":"APPLICATION FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29130","description":"APPLICATION FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20661","description":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20661","description":"APPLICATION HALO CRANIAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20663","description":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20663","description":"APPLICATION HALO FEMORAL INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO PELVIC INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20662","description":"APPLICATION HALO PELVIC INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO PELVIC INCLUDING REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20662","description":"APPLICATION HALO PELVIC INCLUDING REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO TYPE BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29000","description":"APPLICATION HALO TYPE BODY CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HALO TYPE BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29000","description":"APPLICATION HALO TYPE BODY CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HIP SPICA CAST 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29305","description":"APPLICATION HIP SPICA CAST 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION HIP SPICA CAST 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29305","description":"APPLICATION HIP SPICA CAST 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29105","description":"APPLICATION LONG ARM SPLINT SHOULDER TO HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST BRACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29358","description":"APPLICATION LONG LEG CAST BRACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST BRACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29358","description":"APPLICATION LONG LEG CAST BRACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST THIGH-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29345","description":"APPLICATION LONG LEG CAST THIGH-TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29355","description":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29355","description":"APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29505","description":"APPLICATION LONG LEG SPLINT THIGH TO ANKLE/TOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97024","description":"APPLICATION MODALITY 1 OR GT  AREAS DIATHERMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS HOT/COLD PACKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97010","description":"APPLICATION MODALITY 1 OR GT  AREAS HOT/COLD PACKS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS INFRARED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97026","description":"APPLICATION MODALITY 1 OR GT  AREAS INFRARED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS INFRARED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97026","description":"APPLICATION MODALITY 1 OR GT  AREAS INFRARED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97022","description":"APPLICATION MODALITY 1 OR GT  AREAS WHIRLPOOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20692","description":"APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION PATELLAR TENDON BEARING CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29435","description":"APPLICATION PATELLAR TENDON BEARING CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION PATELLAR TENDON BEARING CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29435","description":"APPLICATION PATELLAR TENDON BEARING CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33620","description":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1175.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1175.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1279.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1279.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1288.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1288.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1355.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1355.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1368.3681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1368.3681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1408.0149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1408.0149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1475.6852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1475.6852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1506.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1506.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1576.9233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1576.9233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33620","description":"APPLICATION RIGHT  AND  LEFT PULMONARY ARTERY BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1175.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1175.6449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1279.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1279.7555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1288.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1288.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1355.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1355.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1368.3681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1368.3681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1408.0149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1408.0149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1475.6852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1475.6852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1506.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1506.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1576.9233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1576.9233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RIGID TOTAL CONTACT LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29445","description":"APPLICATION RIGID TOTAL CONTACT LEG CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29010","description":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29010","description":"APPLICATION RISSER JACKET LOCALIZER BODY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29015","description":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29015","description":"APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29126","description":"APPLICATION SHORT ARM SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT DYNAMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29126","description":"APPLICATION SHORT ARM SPLINT DYNAMIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29125","description":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29125","description":"APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29405","description":"APPLICATION SHORT LEG CAST BELOW KNEE-TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29425","description":"APPLICATION SHORT LEG CAST WALKING/AMBULATORY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29515","description":"APPLICATION SHORT LEG SPLINT CALF TO FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99188","description":"APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20690","description":"APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5131","description":"APPLINC CLNR INCONT AND OSTOMY APPLINCS PER 16 OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"APREPITANT ORAL 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8501","description":"APREPITANT ORAL 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AREO MASK USED W/ DME NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7015","description":"AREO MASK USED W/ DME NEB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AREO MASK USED W/ DME NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7015","description":"AREO MASK USED W/ DME NEB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM PAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0019","description":"ARM PAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM PAD REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0019","description":"ARM PAD REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2209","description":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2209","description":"ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0994","description":"ARMREST EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0994","description":"ARMREST EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27740","description":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27740","description":"ARREST EPIPHYSEAL ANY METHOD TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL DISTAL FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27475","description":"ARREST EPIPHYSEAL DISTAL FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL DISTAL FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27475","description":"ARREST EPIPHYSEAL DISTAL FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27732","description":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27732","description":"ARREST EPIPHYSEAL OPEN DISTAL FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27730","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27730","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27734","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27734","description":"ARREST EPIPHYSEAL OPEN DISTAL TIBIA AND FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27477","description":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27477","description":"ARREST EPIPHYSEAL TIBIA  AND  FIBULA PROXIMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27742","description":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27742","description":"ARRST EPIPHYSL ANY METH TIBFIB AND DSTL FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27479","description":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27479","description":"ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27485","description":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27485","description":"ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36600","description":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36600","description":"ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36821","description":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36821","description":"ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22634","description":"ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.7896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.7896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":485.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":485.3819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22633","description":"ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1147.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22551","description":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1076.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22551","description":"ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1076.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1076.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22554","description":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22554","description":"ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22558","description":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":966.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22558","description":"ARTHRD ANT INTERBODY MIN DSC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":966.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22556","description":"ARTHRD ANT INTERBODY MIN DSC THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1070.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERBODY MIN DSC THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22556","description":"ARTHRD ANT INTERBODY MIN DSC THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1070.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22552","description":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22552","description":"ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22554","description":"ARTHRD ANT MIN DISCECT INTERBODY CERV BELOW C2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22556","description":"ARTHRD ANT MIN DISCECTOMY INTERBODY THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1070.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22585","description":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22585","description":"ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22548","description":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1247.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22548","description":"ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1247.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1247.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26844","description":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26844","description":"ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26843","description":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26843","description":"ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26841","description":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26841","description":"ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26842","description":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26842","description":"ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25830","description":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25830","description":"ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27286","description":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1047.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27286","description":"ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1047.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28735","description":"ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28730","description":"ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22600","description":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":835.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22600","description":"ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":835.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28737","description":"ARTHRD W/TDN LNGTH and ADVMNT TARSL NVCLR-CUNEIFOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28760","description":"ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20605","description":"ARTHROCENTESIS ASPIR and /INJ INTERM JT/BURS W/O US","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20610","description":"ARTHROCENTESIS ASPIR and /INJ MAJOR JT/BURSA W/O US","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20600","description":"ARTHROCENTESIS ASPIR and /INJ SMALL JT/BURSA W/O US","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":648.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANKLE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27870","description":"ARTHRODESIS ANKLE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":648.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22585","description":"ARTHRODESIS ANTERIOR INTERBODY EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR INTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22558","description":"ARTHRODESIS ANTERIOR INTERBODY LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":966.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22808","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1277.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1277.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22810","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1277.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1277.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 OR GT  VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 OR GT  VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1400.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1400.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22812","description":"ARTHRODESIS ANTERIOR SPINAL DFRM 8 Plus  VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1400.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1400.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22634","description":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.7896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.7896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":485.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":485.3819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22634","description":"ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.7896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.7896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":485.3819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":485.3819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22633","description":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1147.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22633","description":"ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1147.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24800","description":"ARTHRODESIS ELBOW JOINT LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24800","description":"ARTHRODESIS ELBOW JOINT LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24802","description":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1023.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1023.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":853.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":853.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":936.8284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":936.8284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24802","description":"ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1023.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1023.6708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":853.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":853.0256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":936.8284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":936.8284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23800","description":"ARTHRODESIS GLENOHUMERAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23800","description":"ARTHRODESIS GLENOHUMERAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23802","description":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23802","description":"ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28755","description":"ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28750","description":"ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27284","description":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1020.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27284","description":"ARTHRODESIS HIP JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1020.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26860","description":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26860","description":"ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26861","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26861","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26863","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26863","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26862","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26862","description":"ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS KNEE ANY TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27580","description":"ARTHRODESIS KNEE ANY TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS KNEE ANY TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27580","description":"ARTHRODESIS KNEE ANY TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22534","description":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22534","description":"ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22533","description":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1059.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22533","description":"ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1059.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22532","description":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1137.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1137.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22532","description":"ARTHRODESIS LATERAL EXTRACAVITARY THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1137.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1137.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26850","description":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26850","description":"ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28740","description":"ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26852","description":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26852","description":"ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":781.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PANTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28705","description":"ARTHRODESIS PANTALAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":781.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22595","description":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":971.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22595","description":"ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":971.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":971.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22590","description":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1015.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22590","description":"ARTHRODESIS POSTERIOR CRANIOCERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1015.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22632","description":"ARTHRODESIS POSTERIOR INTERBODY EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR INTERBODY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22630","description":"ARTHRODESIS POSTERIOR INTERBODY LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM  LT 6 VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 OR GT  VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 OR GT  VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1531.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1531.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22804","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 13 Plus  VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1531.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1531.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1335.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1335.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22802","description":"ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1335.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22800","description":"ARTHRODESIS POSTERIOR SPINAL DFRM UP 6 VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22614","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22612","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1004.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22610","description":"ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22612","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1004.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22612","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1004.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22610","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22610","description":"ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22600","description":"ARTHRODESIS PST/PSTLAT CERVICAL BELW C2 SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":835.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22614","description":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22614","description":"ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27280","description":"ARTHRODESIS SACROILIAC JOINT W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":867.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27280","description":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":867.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27280","description":"ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":867.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SUBTALAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28725","description":"ARTHRODESIS SUBTALAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27282","description":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27282","description":"ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27871","description":"ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS TRIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28715","description":"ARTHRODESIS TRIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25800","description":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25800","description":"ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25825","description":"ARTHRODESIS WRIST LIMITED W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25820","description":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25820","description":"ARTHRODESIS WRIST LIMITED W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25810","description":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25810","description":"ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25805","description":"ARTHRODESIS WRIST W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25805","description":"ARTHRODESIS WRIST W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST WITH AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25825","description":"ARTHRODESIS WRIST WITH AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRODESIS WRIST WITH AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25825","description":"ARTHRODESIS WRIST WITH AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27700","description":"ARTHROPLASTY ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":715.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27703","description":"ARTHROPLASTY ANKLE REVISION TOTAL ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":715.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ANKLE W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27702","description":"ARTHROPLASTY ANKLE W/IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24361","description":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24361","description":"ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24360","description":"ARTHROPLASTY ELBOW W/MEMBRANE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY ELBOW W/MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24360","description":"ARTHROPLASTY ELBOW W/MEMBRANE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27442","description":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27442","description":"ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23472","description":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23472","description":"ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23470","description":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23470","description":"ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26535","description":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26535","description":"ARTHROPLASTY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26536","description":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26536","description":"ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY KNEE TIBIAL PLATEAU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27440","description":"ARTHROPLASTY KNEE TIBIAL PLATEAU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY KNEE TIBIAL PLATEAU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27440","description":"ARTHROPLASTY KNEE TIBIAL PLATEAU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26530","description":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26530","description":"ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/O PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27437","description":"ARTHROPLASTY PATELLA W/O PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/O PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27437","description":"ARTHROPLASTY PATELLA W/O PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27438","description":"ARTHROPLASTY PATELLA W/PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY PATELLA W/PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27438","description":"ARTHROPLASTY PATELLA W/PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24365","description":"ARTHROPLASTY RADIAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24365","description":"ARTHROPLASTY RADIAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24366","description":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24366","description":"ARTHROPLASTY RADIAL HEAD W/IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21242","description":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21242","description":"ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25444","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25444","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25445","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25445","description":"ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25441","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25441","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25442","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25442","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25443","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25443","description":"ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29851","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29851","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29850","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29850","description":"ARTHROSCOPY AID TX SPINE and /FX KNEE W/O FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29898","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29897","description":"ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29895","description":"ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":641.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29899","description":"ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":641.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29894","description":"ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29830","description":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29830","description":"ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29838","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29838","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29837","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29837","description":"ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29836","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29836","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29835","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29835","description":"ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29834","description":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29834","description":"ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29860","description":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29860","description":"ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29861","description":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":450.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29861","description":"ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":450.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29863","description":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29863","description":"ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/ACETABULOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29915","description":"ARTHROSCOPY HIP W/ACETABULOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1017.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1017.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":678.2387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":678.2387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":738.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":738.2267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":803.2916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":803.2916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":855.6977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":855.6977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":935.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":935.4924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/FEMOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29914","description":"ARTHROSCOPY HIP W/FEMOROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":644.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":644.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":704.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":704.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":768.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":768.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":822.2968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":822.2968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":901.6573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":901.6573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":982.6879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":982.6879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29916","description":"ARTHROSCOPY HIP W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY HIP W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29916","description":"ARTHROSCOPY HIP W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29883","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29883","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29882","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29882","description":"ARTHROSCOPY KNE SURG MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29870","description":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29870","description":"ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE INFECTION LAVAGE  AND  DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29871","description":"ARTHROSCOPY KNEE INFECTION LAVAGE  AND  DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29873","description":"ARTHROSCOPY KNEE LATERAL RELEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29868","description":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1067.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29868","description":"ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1067.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29866","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29866","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29867","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29867","description":"ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29874","description":"ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29871","description":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29871","description":"ARTHROSCOPY KNEE SURG INFECTION LAVAGE and DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29884","description":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29884","description":"ARTHROSCOPY KNEE SURG LYSIS ADHESIONS W/WO MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29874","description":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29874","description":"ARTHROSCOPY KNEE SURG REMOVAL LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29875","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29875","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29876","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29876","description":"ARTHROSCOPY KNEE SURG SYNOVECTOMY MAJ 2 OR GT CMPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29873","description":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29873","description":"ARTHROSCOPY KNEE SURGICAL WITH LATERAL RELEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SYNOVECTOMY 2 OR GT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29876","description":"ARTHROSCOPY KNEE SYNOVECTOMY 2 OR GT COMPARTMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29875","description":"ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29884","description":"ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL and LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29883","description":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL and LATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29882","description":"ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29900","description":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29900","description":"ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29825","description":"ARTHROSCOPY SHOULDER AHESIOLYSIS W/WO MANIPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29828","description":"ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29824","description":"ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29805","description":"ARTHROSCOPY SHOULDER DX W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29827","description":"ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":687.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29823","description":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29822","description":"ARTHROSCOPY SHOULDER SURG DEBRIDEMENT LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29821","description":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29820","description":"ARTHROSCOPY SHOULDER SURG SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29806","description":"ARTHROSCOPY SHOULDER SURGICAL CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29819","description":"ARTHROSCOPY SHOULDER SURGICAL REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29807","description":"ARTHROSCOPY SHOULDER SURGICAL REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29826","description":"ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29907","description":"ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29906","description":"ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29905","description":"ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29804","description":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29804","description":"ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29840","description":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29840","description":"ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29843","description":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29843","description":"ARTHROSCOPY WRIST INFECTION LAVAGE AND DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29847","description":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29847","description":"ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29845","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29845","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29844","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29844","description":"ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27610","description":"ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26100","description":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26100","description":"ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26110","description":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26110","description":"ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26105","description":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26105","description":"ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25107","description":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25107","description":"ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24102","description":"ARTHROTOMY ELBOW W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24102","description":"ARTHROTOMY ELBOW W/SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24100","description":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24100","description":"ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23100","description":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23100","description":"ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23040","description":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23040","description":"ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27033","description":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":627.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27033","description":"ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":627.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27030","description":"ARTHROTOMY HIP W/DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY HIP W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27030","description":"ARTHROTOMY HIP W/DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27330","description":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27330","description":"ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21010","description":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21010","description":"ARTHROTOMY TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27052","description":"ARTHROTOMY W/BIOPSY HIP JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27052","description":"ARTHROTOMY W/BIOPSY HIP JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27050","description":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27050","description":"ARTHROTOMY W/BIOPSY SACROILIAC JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/MENISCUS REPAIR KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27403","description":"ARTHROTOMY W/MENISCUS REPAIR KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/MENISCUS REPAIR KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27403","description":"ARTHROTOMY W/MENISCUS REPAIR KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27625","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27626","description":"ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27054","description":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27054","description":"ARTHROTOMY W/SYNOVECTOMY HIP JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27334","description":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27334","description":"ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25100","description":"ARTHROTOMY WRIST JOINT WITH BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25100","description":"ARTHROTOMY WRIST JOINT WITH BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25105","description":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25105","description":"ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27130","description":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27130","description":"ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24363","description":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":928.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24363","description":"ARTHRP ELBOW W/DISTAL HUM and PROX UR PROSTC RPLCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":928.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":928.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24362","description":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24362","description":"ARTHRP ELBOW W/IMPLT and FSCA LATA LIGAMENT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27443","description":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27443","description":"ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT and PRTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25447","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25447","description":"ARTHRP INTERCARPAL/CARP/MTCRPL JT INTERPOSITION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25447","description":"ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27447","description":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27447","description":"ARTHRP KNE CONDYLE AND PLATU MEDIAL AND LAT COMPARTMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27446","description":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":736.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27446","description":"ARTHRP KNEE CONDYLE and PLATEAU MEDIAL/LAT CMPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":736.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":736.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27441","description":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27441","description":"ARTHRP KNEE TIBIAL PLATEAU DBRDMT AND PRTL SYNVCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26531","description":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26531","description":"ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21240","description":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":677.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21240","description":"ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":677.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21243","description":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1040.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21243","description":"ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1040.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/CARPUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/CARPUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25446","description":"ARTHRP W/PROSTC RPLCMT DSTL RDS and PRTL/ENTIR CARPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25332","description":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25332","description":"ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29892","description":"ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29855","description":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":507.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29855","description":"ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":507.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29856","description":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":641.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29856","description":"ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":641.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29888","description":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29888","description":"ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29889","description":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29889","description":"ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29862","description":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29862","description":"ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29879","description":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29879","description":"ARTHRS KNE SURG ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29881","description":"ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29879","description":"ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29877","description":"ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29885","description":"ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29886","description":"ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29887","description":"ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29877","description":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29877","description":"ARTHRS KNEE SURG DEBRIDEMENT/SHVG ARTCLR CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29886","description":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29886","description":"ARTHRS KNEE SURG DRILLING NTC OSTEO DISS LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29885","description":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29885","description":"ARTHRS KNEE SURG DRLG OSTEO DISS GRFG W/WO FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29887","description":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29887","description":"ARTHRS KNEE SURG DRLG OSTEO DISS LES W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29880","description":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29880","description":"ARTHRS KNEE SURG MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29881","description":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29881","description":"ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE W/MENISCECTOMY MED and LAT W/SHAVING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29880","description":"ARTHRS KNEE W/MENISCECTOMY MED and LAT W/SHAVING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29901","description":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29901","description":"ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29902","description":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29902","description":"ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29904","description":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29904","description":"ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29800","description":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29800","description":"ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29846","description":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29846","description":"ARTHRS WRST EXC and /RPR TRIANG FIBROCART and /JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23044","description":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23044","description":"ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23101","description":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23101","description":"ARTHRT ACROMCLAV/STRNCLAV JT W/BX and /EXC CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27620","description":"ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24006","description":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24006","description":"ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24000","description":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24000","description":"ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24101","description":"ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24101","description":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24101","description":"ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26070","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26070","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26080","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26080","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26075","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26075","description":"ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23107","description":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23107","description":"ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23106","description":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23106","description":"ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23105","description":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23105","description":"ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27310","description":"ARTHRT KNE W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27310","description":"ARTHRT KNE W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27331","description":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27331","description":"ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27612","description":"ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25040","description":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25040","description":"ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28050","description":"ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27333","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27333","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL and LAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27332","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27332","description":"ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28024","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28022","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28020","description":"ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27335","description":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27335","description":"ARTHRT W/SYNVCT KNE ANT and POST W/POP AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25101","description":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25101","description":"ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28054","description":"ARTHRTOMY W/BX INTERPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28052","description":"ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL LARYNX ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8500","description":"ARTIFICIAL LARYNX ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTIFICIAL LARYNX ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8500","description":"ARTIFICIAL LARYNX ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36640","description":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36640","description":"ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36625","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36625","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36620","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36620","description":"ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN F/ARM VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36820","description":"ARVEN ANAST OPN F/ARM VEIN TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN F/ARM VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36820","description":"ARVEN ANAST OPN F/ARM VEIN TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36819","description":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36819","description":"ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36818","description":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36818","description":"ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ IA EMBOLIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61710","description":"ARYSM VASC MALFRMJ IA EMBOLIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1350.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ IA EMBOLIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61710","description":"ARYSM VASC MALFRMJ IA EMBOLIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1350.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1350.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61705","description":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1634.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61705","description":"ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1634.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61708","description":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1599.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1599.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61708","description":"ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1599.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1599.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31400","description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31400","description":"ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33863","description":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1906.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1906.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33863","description":"AS-AORT GRF W/CARD BYP  and  AORTIC ROOT RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1906.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1906.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33864","description":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2225.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2225.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2420.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2420.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2469.9632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2469.9632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2578.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2578.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2683.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2683.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2685.0984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2685.0984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2863.3256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2863.3256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2914.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2914.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3106.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3106.9517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33864","description":"ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2225.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2225.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2420.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2420.1624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2469.9632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2469.9632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2578.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2578.7165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2683.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2683.4951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2685.0984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2685.0984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2863.3256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2863.3256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2914.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2914.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3106.9517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3106.9517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81412","description":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1567.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2154.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81412","description":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1567.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2154.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81200","description":"ASPA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.24,"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"}]}]},{"negotiation_arrangement":"ffs","name":"ASPA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81200","description":"ASPA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.24,"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"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50390","description":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50390","description":"ASPIR  and /NJX RENAL CYST/PELVIS NEEDLE PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20615","description":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20615","description":"ASPIRATION  AND  INJECTION TREATMENT BONE CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND/OR INJECTION THYROID CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60300","description":"ASPIRATION AND/OR INJECTION THYROID CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION AND/OR INJECTION THYROID CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60300","description":"ASPIRATION AND/OR INJECTION THYROID CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51102","description":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51102","description":"ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51100","description":"ASPIRATION BLADDER NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51100","description":"ASPIRATION BLADDER NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER TROCAR/INTRACATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51101","description":"ASPIRATION BLADDER TROCAR/INTRACATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION BLADDER TROCAR/INTRACATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51101","description":"ASPIRATION BLADDER TROCAR/INTRACATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20612","description":"ASPIRATION and /INJECTION GANGLION CYST ANY LOCATJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ACETYLCHOLINESTERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82013","description":"ASSAY OF ACETYLCHOLINESTERASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ACETYLCHOLINESTERASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82013","description":"ASSAY OF ACETYLCHOLINESTERASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) BREATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82075","description":"ASSAY OF ALCOHOL (ETHANOL) BREATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) BREATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82075","description":"ASSAY OF ALCOHOL (ETHANOL) BREATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82077","description":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82077","description":"ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR and BREATH IA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALCOHOL BREATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82075","description":"ASSAY OF ALCOHOL BREATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOLASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82085","description":"ASSAY OF ALDOLASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOLASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82085","description":"ASSAY OF ALDOLASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82088","description":"ASSAY OF ALDOSTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALDOSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82088","description":"ASSAY OF ALDOSTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALUMINUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82108","description":"ASSAY OF ALUMINUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ALUMINUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82108","description":"ASSAY OF ALUMINUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMMONIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82140","description":"ASSAY OF AMMONIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMMONIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82140","description":"ASSAY OF AMMONIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMYLASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82150","description":"ASSAY OF AMYLASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF AMYLASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82150","description":"ASSAY OF AMYLASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ARSENIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82175","description":"ASSAY OF ARSENIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ARSENIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82175","description":"ASSAY OF ARSENIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ASCORBIC ACID BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82180","description":"ASSAY OF ASCORBIC ACID BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ASCORBIC ACID BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82180","description":"ASSAY OF ASCORBIC ACID BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83080","description":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","negotiated_rates":[{"provider_references":[210414],"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":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":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83080","description":"ASSAY OF B-HEXOSAMINIDASE EACH ASSAY","negotiated_rates":[{"provider_references":[210414],"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":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":"ASSAY OF BLOOD/URIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84550","description":"ASSAY OF BLOOD/URIC ACID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF BLOOD/URIC ACID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84550","description":"ASSAY OF BLOOD/URIC ACID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF C-PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84681","description":"ASSAY OF C-PEPTIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF C-PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84681","description":"ASSAY OF C-PEPTIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CALPROTECTIN FECAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83993","description":"ASSAY OF CALPROTECTIN FECAL","negotiated_rates":[{"provider_references":[210414],"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":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":"ASSAY OF CALPROTECTIN FECAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83993","description":"ASSAY OF CALPROTECTIN FECAL","negotiated_rates":[{"provider_references":[210414],"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":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":"ASSAY OF CHROMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82495","description":"ASSAY OF CHROMIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CHROMIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82495","description":"ASSAY OF CHROMIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CITRATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82507","description":"ASSAY OF CITRATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CITRATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82507","description":"ASSAY OF CITRATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF COPPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82525","description":"ASSAY OF COPPER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF COPPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82525","description":"ASSAY OF COPPER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CREATINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82540","description":"ASSAY OF CREATINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CREATINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82540","description":"ASSAY OF CREATINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CRYOFIBRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82585","description":"ASSAY OF CRYOFIBRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CRYOFIBRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82585","description":"ASSAY OF CRYOFIBRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CYANIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82600","description":"ASSAY OF CYANIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF CYANIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82600","description":"ASSAY OF CYANIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIBUCAINE NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82638","description":"ASSAY OF DIBUCAINE NUMBER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF DIBUCAINE NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82638","description":"ASSAY OF DIBUCAINE NUMBER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ERYTHROPOIETIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82668","description":"ASSAY OF ERYTHROPOIETIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ERYTHROPOIETIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82668","description":"ASSAY OF ERYTHROPOIETIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82670","description":"ASSAY OF ESTRADIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82677","description":"ASSAY OF ESTRIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRIOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82677","description":"ASSAY OF ESTRIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82671","description":"ASSAY OF ESTROGENS FRACTIONATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82671","description":"ASSAY OF ESTROGENS FRACTIONATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82672","description":"ASSAY OF ESTROGENS TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTROGENS TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82672","description":"ASSAY OF ESTROGENS TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82679","description":"ASSAY OF ESTRONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ESTRONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82679","description":"ASSAY OF ESTRONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETHYLENE GLYCOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82693","description":"ASSAY OF ETHYLENE GLYCOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETHYLENE GLYCOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82693","description":"ASSAY OF ETHYLENE GLYCOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETIOCHOLANOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82696","description":"ASSAY OF ETIOCHOLANOLONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ETIOCHOLANOLONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82696","description":"ASSAY OF ETIOCHOLANOLONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FERRITIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82728","description":"ASSAY OF FERRITIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FERRITIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82728","description":"ASSAY OF FERRITIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FLUORIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82735","description":"ASSAY OF FLUORIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FLUORIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82735","description":"ASSAY OF FLUORIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82747","description":"ASSAY OF FOLIC ACID RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID RBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82747","description":"ASSAY OF FOLIC ACID RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82746","description":"ASSAY OF FOLIC ACID SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FOLIC ACID SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82746","description":"ASSAY OF FOLIC ACID SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84439","description":"ASSAY OF FREE THYROXINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FREE THYROXINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84439","description":"ASSAY OF FREE THYROXINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FRUCTOSE SEMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82757","description":"ASSAY OF FRUCTOSE SEMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF FRUCTOSE SEMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82757","description":"ASSAY OF FRUCTOSE SEMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOKINASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82759","description":"ASSAY OF GALACTOKINASE RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOKINASE RBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82759","description":"ASSAY OF GALACTOKINASE RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82760","description":"ASSAY OF GALACTOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GALACTOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82760","description":"ASSAY OF GALACTOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82784","description":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82784","description":"ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82785","description":"ASSAY OF GAMMAGLOBULIN IGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GAMMAGLOBULIN IGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82785","description":"ASSAY OF GAMMAGLOBULIN IGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GASTRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82941","description":"ASSAY OF GASTRIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GASTRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82941","description":"ASSAY OF GASTRIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCAGON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82943","description":"ASSAY OF GLUCAGON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCAGON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82943","description":"ASSAY OF GLUCAGON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCOSIDASE BETA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82963","description":"ASSAY OF GLUCOSIDASE BETA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUCOSIDASE BETA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82963","description":"ASSAY OF GLUCOSIDASE BETA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82965","description":"ASSAY OF GLUTAMATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82965","description":"ASSAY OF GLUTAMATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMYLTRASE GAMMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82977","description":"ASSAY OF GLUTAMYLTRASE GAMMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTAMYLTRASE GAMMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82977","description":"ASSAY OF GLUTAMYLTRASE GAMMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82978","description":"ASSAY OF GLUTATHIONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82978","description":"ASSAY OF GLUTATHIONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE REDUCTASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82979","description":"ASSAY OF GLUTATHIONE REDUCTASE RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLUTATHIONE REDUCTASE RBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82979","description":"ASSAY OF GLUTATHIONE REDUCTASE RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLYCATED PROTEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82985","description":"ASSAY OF GLYCATED PROTEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GLYCATED PROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82985","description":"ASSAY OF GLYCATED PROTEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GROWTH HORMONE HUMAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83003","description":"ASSAY OF GROWTH HORMONE HUMAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF GROWTH HORMONE HUMAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83003","description":"ASSAY OF GROWTH HORMONE HUMAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN PHENOTYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83012","description":"ASSAY OF HAPTOGLOBIN PHENOTYPES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN PHENOTYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83012","description":"ASSAY OF HAPTOGLOBIN PHENOTYPES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83010","description":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83010","description":"ASSAY OF HAPTOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83051","description":"ASSAY OF HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83069","description":"ASSAY OF HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOSIDERIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83070","description":"ASSAY OF HEMOSIDERIN QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HEMOSIDERIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83070","description":"ASSAY OF HEMOSIDERIN QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HISTAMINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83088","description":"ASSAY OF HISTAMINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HISTAMINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83088","description":"ASSAY OF HISTAMINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOCYSTEINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83090","description":"ASSAY OF HOMOCYSTEINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOCYSTEINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83090","description":"ASSAY OF HOMOCYSTEINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOVANILLIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83150","description":"ASSAY OF HOMOVANILLIC ACID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HOMOVANILLIC ACID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83150","description":"ASSAY OF HOMOVANILLIC ACID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83491","description":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83491","description":"ASSAY OF HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83497","description":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83497","description":"ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROGESTERONE 17-D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83498","description":"ASSAY OF HYDROXYPROGESTERONE 17-D","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROGESTERONE 17-D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83498","description":"ASSAY OF HYDROXYPROGESTERONE 17-D","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83500","description":"ASSAY OF HYDROXYPROLINE FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83500","description":"ASSAY OF HYDROXYPROLINE FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF HYDROXYPROLINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83505","description":"ASSAY OF HYDROXYPROLINE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83527","description":"ASSAY OF INSULIN FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83527","description":"ASSAY OF INSULIN FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83525","description":"ASSAY OF INSULIN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INSULIN TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83525","description":"ASSAY OF INSULIN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTRINSIC FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83528","description":"ASSAY OF INTRINSIC FACTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF INTRINSIC FACTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83528","description":"ASSAY OF INTRINSIC FACTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF IRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83540","description":"ASSAY OF IRON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF IRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83540","description":"ASSAY OF IRON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83582","description":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83582","description":"ASSAY OF KETOGENIC STEROIDS FRACTIONATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOSTEROIDS 17- TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83586","description":"ASSAY OF KETOSTEROIDS 17- TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF KETOSTEROIDS 17- TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83586","description":"ASSAY OF KETOSTEROIDS 17- TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF L7383TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84466","description":"ASSAY OF L7383TRANSFERRIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LACTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83605","description":"ASSAY OF LACTATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LACTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83605","description":"ASSAY OF LACTATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83655","description":"ASSAY OF LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83655","description":"ASSAY OF LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LIPASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83690","description":"ASSAY OF LIPASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF LIPASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83690","description":"ASSAY OF LIPASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83735","description":"ASSAY OF MAGNESIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MAGNESIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83735","description":"ASSAY OF MAGNESIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MALATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83775","description":"ASSAY OF MALATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[210414],"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":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MALATE DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83775","description":"ASSAY OF MALATE DEHYDROGENASE","negotiated_rates":[{"provider_references":[210414],"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":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MANGANESE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83785","description":"ASSAY OF MANGANESE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MANGANESE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83785","description":"ASSAY OF MANGANESE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MERCURY QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83825","description":"ASSAY OF MERCURY QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF MERCURY QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83825","description":"ASSAY OF MERCURY QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83883","description":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83883","description":"ASSAY OF NEPHELOMETRY EACH ANALYTE NES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NICKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83885","description":"ASSAY OF NICKEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NICKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83885","description":"ASSAY OF NICKEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NUCLEOTIDASE 5'-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83915","description":"ASSAY OF NUCLEOTIDASE 5'-","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF NUCLEOTIDASE 5'-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83915","description":"ASSAY OF NUCLEOTIDASE 5'-","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.812,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83930","description":"ASSAY OF OSMOLALITY BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83930","description":"ASSAY OF OSMOLALITY BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83935","description":"ASSAY OF OSMOLALITY URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSMOLALITY URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83935","description":"ASSAY OF OSMOLALITY URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSTEOCALCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83937","description":"ASSAY OF OSTEOCALCIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OSTEOCALCIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83937","description":"ASSAY OF OSTEOCALCIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OXALATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83945","description":"ASSAY OF OXALATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF OXALATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83945","description":"ASSAY OF OXALATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PARATHORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83970","description":"ASSAY OF PARATHORMONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PARATHORMONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83970","description":"ASSAY OF PARATHORMONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLALANINE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84030","description":"ASSAY OF PHENYLALANINE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLALANINE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84030","description":"ASSAY OF PHENYLALANINE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLKETONES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84035","description":"ASSAY OF PHENYLKETONES QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHENYLKETONES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84035","description":"ASSAY OF PHENYLKETONES QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID PROSTATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84066","description":"ASSAY OF PHOSPHATASE ACID PROSTATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID PROSTATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84066","description":"ASSAY OF PHOSPHATASE ACID PROSTATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84060","description":"ASSAY OF PHOSPHATASE ACID TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84060","description":"ASSAY OF PHOSPHATASE ACID TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.721,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.721,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84075","description":"ASSAY OF PHOSPHATASE ALKALINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84075","description":"ASSAY OF PHOSPHATASE ALKALINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84078","description":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84078","description":"ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84080","description":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84080","description":"ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84087","description":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84087","description":"ASSAY OF PHOSPHOHEXOSE ISOMERASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84100","description":"ASSAY OF PHOSPHORUS INORGANIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84100","description":"ASSAY OF PHOSPHORUS INORGANIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.169,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.169,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84105","description":"ASSAY OF PHOSPHORUS INORGANIC URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PHOSPHORUS INORGANIC URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84105","description":"ASSAY OF PHOSPHORUS INORGANIC URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84110","description":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84110","description":"ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84144","description":"ASSAY OF PROGESTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84144","description":"ASSAY OF PROGESTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROINSULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84206","description":"ASSAY OF PROINSULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROINSULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84206","description":"ASSAY OF PROINSULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROLACTIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84146","description":"ASSAY OF PROLACTIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROLACTIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84146","description":"ASSAY OF PROLACTIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTAGLNDIN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84150","description":"ASSAY OF PROSTAGLNDIN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTAGLNDIN EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84150","description":"ASSAY OF PROSTAGLNDIN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84152","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84152","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84154","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84154","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84153","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84153","description":"ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRIDOXAL PHOSPHATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84207","description":"ASSAY OF PYRIDOXAL PHOSPHATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRIDOXAL PHOSPHATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84207","description":"ASSAY OF PYRIDOXAL PHOSPHATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.728,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84210","description":"ASSAY OF PYRUVATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84210","description":"ASSAY OF PYRUVATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE KINASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84220","description":"ASSAY OF PYRUVATE KINASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF PYRUVATE KINASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84220","description":"ASSAY OF PYRUVATE KINASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF QUININE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84228","description":"ASSAY OF QUININE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF QUININE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84228","description":"ASSAY OF QUININE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY ESTROGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84233","description":"ASSAY OF RECEPTOR ASSAY ESTROGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY ESTROGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84233","description":"ASSAY OF RECEPTOR ASSAY ESTROGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84234","description":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84234","description":"ASSAY OF RECEPTOR ASSAY PROGESTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RENIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84244","description":"ASSAY OF RENIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RENIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84244","description":"ASSAY OF RENIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84252","description":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84252","description":"ASSAY OF RIBOFLAVIN-VITAMIN B-2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SELENIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84255","description":"ASSAY OF SELENIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SELENIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84255","description":"ASSAY OF SELENIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEROTONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84260","description":"ASSAY OF SEROTONIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEROTONIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84260","description":"ASSAY OF SEROTONIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEX HORMONE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84270","description":"ASSAY OF SEX HORMONE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SEX HORMONE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84270","description":"ASSAY OF SEX HORMONE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SIALIC ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84275","description":"ASSAY OF SIALIC ACID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"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":"ASSAY OF SIALIC ACID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84275","description":"ASSAY OF SIALIC ACID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"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":"ASSAY OF SILICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84285","description":"ASSAY OF SILICA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SILICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84285","description":"ASSAY OF SILICA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SODIUM OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84302","description":"ASSAY OF SODIUM OTHER SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SODIUM OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84302","description":"ASSAY OF SODIUM OTHER SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOMEDIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84305","description":"ASSAY OF SOMATOMEDIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOMEDIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84305","description":"ASSAY OF SOMATOMEDIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOSTATIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84307","description":"ASSAY OF SOMATOSTATIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SOMATOSTATIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84307","description":"ASSAY OF SOMATOSTATIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SULFATE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84392","description":"ASSAY OF SULFATE URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF SULFATE URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84392","description":"ASSAY OF SULFATE URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84402","description":"ASSAY OF TESTOSTERONE FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84402","description":"ASSAY OF TESTOSTERONE FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84403","description":"ASSAY OF TESTOSTERONE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TESTOSTERONE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84403","description":"ASSAY OF TESTOSTERONE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIAMINE-VITAMIN B-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84425","description":"ASSAY OF THIAMINE-VITAMIN B-1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIAMINE-VITAMIN B-1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84425","description":"ASSAY OF THIAMINE-VITAMIN B-1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIOCYANATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84430","description":"ASSAY OF THIOCYANATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THIOCYANATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84430","description":"ASSAY OF THIOCYANATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84432","description":"ASSAY OF THYROGLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":14.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84432","description":"ASSAY OF THYROGLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":14.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROID STIMULATING HORMONE TSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84443","description":"ASSAY OF THYROID STIMULATING HORMONE TSH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROID STIMULATING HORMONE TSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84443","description":"ASSAY OF THYROID STIMULATING HORMONE TSH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84442","description":"ASSAY OF THYROXINE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84442","description":"ASSAY OF THYROXINE BINDING GLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE REQUIRING ELUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84437","description":"ASSAY OF THYROXINE REQUIRING ELUTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE REQUIRING ELUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84437","description":"ASSAY OF THYROXINE REQUIRING ELUTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84436","description":"ASSAY OF THYROXINE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF THYROXINE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84436","description":"ASSAY OF THYROXINE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84446","description":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84446","description":"ASSAY OF TOCOPHEROL ALPHA VITAMIN E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82670","description":"ASSAY OF TOTAL ESTRADIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL ESTRADIOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82670","description":"ASSAY OF TOTAL ESTRADIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL HYDROXYPROLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83505","description":"ASSAY OF TOTAL HYDROXYPROLINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TOTAL HYDROXYPROLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83505","description":"ASSAY OF TOTAL HYDROXYPROLINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84449","description":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84449","description":"ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"ASSAY OF TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84466","description":"ASSAY OF TRANSFERRIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84466","description":"ASSAY OF TRANSFERRIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIGLYCERIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84478","description":"ASSAY OF TRIGLYCERIDES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIGLYCERIDES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84478","description":"ASSAY OF TRIGLYCERIDES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84481","description":"ASSAY OF TRIIODOTHYRONINE T3 FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84481","description":"ASSAY OF TRIIODOTHYRONINE T3 FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84480","description":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84480","description":"ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.072,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84512","description":"ASSAY OF TROPONIN QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84512","description":"ASSAY OF TROPONIN QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84484","description":"ASSAY OF TROPONIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TROPONIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84484","description":"ASSAY OF TROPONIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN DUODENAL FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84485","description":"ASSAY OF TRYPSIN DUODENAL FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN DUODENAL FLUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84485","description":"ASSAY OF TRYPSIN DUODENAL FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84488","description":"ASSAY OF TRYPSIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TRYPSIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84488","description":"ASSAY OF TRYPSIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TYROSINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84510","description":"ASSAY OF TYROSINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF TYROSINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84510","description":"ASSAY OF TYROSINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84520","description":"ASSAY OF UREA NITROGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84520","description":"ASSAY OF UREA NITROGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84525","description":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"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":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84525","description":"ASSAY OF UREA NITROGEN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"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":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84540","description":"ASSAY OF UREA NITROGEN URINE","negotiated_rates":[{"provider_references":[210414],"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":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UREA NITROGEN URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84540","description":"ASSAY OF UREA NITROGEN URINE","negotiated_rates":[{"provider_references":[210414],"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":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URIC ACID OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84560","description":"ASSAY OF URIC ACID OTHER SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URIC ACID OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84560","description":"ASSAY OF URIC ACID OTHER SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URINE SODIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84300","description":"ASSAY OF URINE SODIUM","negotiated_rates":[{"provider_references":[210414],"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":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF URINE SODIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84300","description":"ASSAY OF URINE SODIUM","negotiated_rates":[{"provider_references":[210414],"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":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84577","description":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84577","description":"ASSAY OF UROBILINOGEN FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84578","description":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84578","description":"ASSAY OF UROBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84583","description":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84583","description":"ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VANILLYLMANDELIC ACID URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84585","description":"ASSAY OF VANILLYLMANDELIC ACID URINE","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VANILLYLMANDELIC ACID URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84585","description":"ASSAY OF VANILLYLMANDELIC ACID URINE","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84586","description":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84586","description":"ASSAY OF VASOACTIVE INTESTINAL PEPTIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84588","description":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84588","description":"ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84590","description":"ASSAY OF VITAMIN A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84590","description":"ASSAY OF VITAMIN A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN K","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84597","description":"ASSAY OF VITAMIN K","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN K","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84597","description":"ASSAY OF VITAMIN K","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84591","description":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84591","description":"ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VOLATILES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84600","description":"ASSAY OF VOLATILES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF VOLATILES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84600","description":"ASSAY OF VOLATILES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.059,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ZINC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84630","description":"ASSAY OF ZINC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSAY OF ZINC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84630","description":"ASSAY OF ZINC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99192","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99191","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99190","description":"ASSEMBLY and OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT TINNITUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92625","description":"ASSESSMENT TINNITUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSESSMENT TINNITUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92625","description":"ASSESSMENT TINNITUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99483","description":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99483","description":"ASSMT  and  CARE PLANNING PT W/COGNITIVE IMPAIRMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97755","description":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97755","description":"ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82190","description":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82190","description":"ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33257","description":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33257","description":"ATRIA ABLATE  and  RCNSTJ W/OTHER PROCEDURE LIMITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33259","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33259","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTEN W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33258","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33258","description":"ATRIA ABLTJ  and  RCNSTJ W/OTHER PX EXTENSIV W/O BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33735","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33735","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33736","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":868.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33736","description":"ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":868.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":868.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99464","description":"ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81178","description":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81178","description":"ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81179","description":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81179","description":"ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81180","description":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81180","description":"ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81181","description":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81181","description":"ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81182","description":"ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81182","description":"ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20938","description":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20938","description":"AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20937","description":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20937","description":"AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86890","description":"AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6881","description":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4062.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4062.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6881","description":"AUTOMATIC GRASP ADD UPPER LIMB ELEC PROSTH DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4062.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4062.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11732","description":"AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11730","description":"AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY CRUTCH EXTENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0978","description":"AXILLARY CRUTCH EXTENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY CRUTCH EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0978","description":"AXILLARY CRUTCH EXTENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38745","description":"AXILLARY LYMPHADENECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38745","description":"AXILLARY LYMPHADENECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38740","description":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38740","description":"AXILLARY LYMPHADENECTOMY SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":447.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":447.183,"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":[210414],"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":"AZATHIOPRINE PARENTERAL100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7501","description":"AZATHIOPRINE PARENTERAL100 MG","negotiated_rates":[{"provider_references":[210414],"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":"Acne surgery","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"Acne surgery","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4458.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44586.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol or peroxide per pint","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4244","description":"Alcohol or peroxide per pint","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol wipes per box","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4245","description":"Alcohol wipes per box","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Androstanediol glucuronide","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82154","description":"Androstanediol glucuronide","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Axillary crutch extension","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0978","description":"Axillary crutch extension","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86355","description":"B CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86355","description":"B CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27170","description":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":750.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27170","description":"B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":750.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2293","description":"BACK CONTOURED PED WC INCL FIX ATTCH HARDWARE","negotiated_rates":[{"provider_references":[210414],"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":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2291","description":"BACK PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","negotiated_rates":[{"provider_references":[210414],"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":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65757","description":"BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BANDING PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33690","description":"BANDING PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BANDING PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33690","description":"BANDING PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80047","description":"BASIC METABOLIC PANEL CALCIUM IONIZED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80047","description":"BASIC METABOLIC PANEL CALCIUM IONIZED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80048","description":"BASIC METABOLIC PANEL CALCIUM TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC METABOLIC PANEL CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80048","description":"BASIC METABOLIC PANEL CALCIUM TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC RADIATION DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77300","description":"BASIC RADIATION DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BASIC RADIATION DOSIMETRY CALCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77300","description":"BASIC RADIATION DOSIMETRY CALCULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0240","description":"BATH/SHOWER CHAIR W/WO WHEELS ANY SIZE","negotiated_rates":[{"provider_references":[210414],"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":"BATTERY CHARGER 12 VOLT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7366","description":"BATTERY CHARGER 12 VOLT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER 12 VOLT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7366","description":"BATTERY CHARGER 12 VOLT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER SIX VOLT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7362","description":"BATTERY CHARGER SIX VOLT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY CHARGER SIX VOLT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7362","description":"BATTERY CHARGER SIX VOLT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR USE IN HEARING DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5266","description":"BATTERY FOR USE IN HEARING DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTERY FOR USE IN HEARING DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5266","description":"BATTERY FOR USE IN HEARING DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4612","description":"BATTRY CABLES; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4613","description":"BATTRY CHARGER; REPLACEMENT PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4611","description":"BATTRY HEAVY DUTY; REPL PT-OWNED VENTILATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKDHB GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81205","description":"BCKDHB GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCKDHB GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81205","description":"BCKDHB GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.589,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81206","description":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81206","description":"BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81207","description":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81207","description":"BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6400","description":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2620.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2620.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6400","description":"BE MOLD SCKT ENDOSKEL SYS W/SFT PROSTH TISS SHAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2620.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2620.365,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4357","description":"BEDSID DRN BAG DAY/NGT W/WO ANTI-REFLX DEVC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS FULL-LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0310","description":"BEDSIDE RAILS FULL-LENGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS FULL-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0310","description":"BEDSIDE RAILS FULL-LENGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEDSIDE RAILS HALF-LENGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0305","description":"BEDSIDE RAILS HALF-LENGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96127","description":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96127","description":"BEHAV ASSMT W/SCORE  and  DOCD/STAND INSTRUMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97151","description":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97151","description":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.669,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW MOLDED SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6110","description":"BELOW ELBOW MOLDED SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2414.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2414.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW MOLDED SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6110","description":"BELOW ELBOW MOLDED SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2414.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2414.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6935","description":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9030.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9030.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6935","description":"BELOW ELBOW OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9030.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9030.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6930","description":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8545.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8545.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6930","description":"BELOW ELBOW OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8545.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8545.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5301","description":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2835.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2835.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5301","description":"BELOW KNEE MOLD SOCKET SHIN SACH FT ENDOSKEL SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2835.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2835.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5100","description":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2827.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2827.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5100","description":"BELOW KNEE MOLDED SOCKET SHIN SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2827.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2827.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5105","description":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3991.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3991.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5105","description":"BELOW KNEE PLSTC SOCKT JNT AND THIGH LACER SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3991.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3991.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4467","description":"BELT STRAP SLEEVE GARMENT OR COVERING ANY TYPE","negotiated_rates":[{"provider_references":[210414],"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":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6120","description":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3035.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3035.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6120","description":"BELW ELB MOLD DBL WALL SCKT STEP-UP HNG 1/2 CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3035.637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3035.637,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6100","description":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2366.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2366.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6100","description":"BELW ELB MOLD SOCKT FLXIBLE ELB HINGE TRICP PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2366.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2366.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6130","description":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3493.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3493.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6130","description":"BELW ELB STUMP ACTVATD LOCK HINGE HALF CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3493.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3493.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86146","description":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86146","description":"BETA 2 GLYCOPROTEIN I ANTIBODY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-2 MICROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82232","description":"BETA-2 MICROGLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETA-2 MICROGLOBULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82232","description":"BETA-2 MICROGLOBULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.234,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR IODINE SWABS/WIPES PER BOX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4247","description":"BETADINE OR IODINE SWABS/WIPES PER BOX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BETADINE OR PHISOHEX SOLUTION PER PINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4246","description":"BETADINE OR PHISOHEX SOLUTION PER PINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICARBONATE CONCENTRATE POWDER HEMODIAL-PACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4707","description":"BICARBONATE CONCENTRATE POWDER HEMODIAL-PACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICARBONATE CONCENTRATE SOL HEMODIAL PER GALLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4706","description":"BICARBONATE CONCENTRATE SOL HEMODIAL PER GALLON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61586","description":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1607.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1607.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61586","description":"BICORONAL TRANSZYGMTC and /LEFORT I W/O BONE GRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1607.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1607.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS CHOLYLGLYCINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82240","description":"BILE ACIDS CHOLYLGLYCINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":23.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS CHOLYLGLYCINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82240","description":"BILE ACIDS CHOLYLGLYCINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":23.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82239","description":"BILE ACIDS TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILE ACIDS TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82239","description":"BILE ACIDS TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47552","description":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47552","description":"BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47554","description":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47554","description":"BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47550","description":"BILIARY NDSC INTRAOPERATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47550","description":"BILIARY NDSC INTRAOPERATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47556","description":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47556","description":"BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47553","description":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47553","description":"BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47555","description":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47555","description":"BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82248","description":"BILIRUBIN DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82248","description":"BILIRUBIN DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82252","description":"BILIRUBIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82252","description":"BILIRUBIN FECES QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.015,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82247","description":"BILIRUBIN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82247","description":"BILIRUBIN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88720","description":"BILIRUBIN TOTAL TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BILIRUBIN TOTAL TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88720","description":"BILIRUBIN TOTAL TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.422,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5120","description":"BINAURAL BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINAURAL GLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5150","description":"BINAURAL GLASSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92504","description":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92504","description":"BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20245","description":"BIOPSY BONE OPEN DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20245","description":"BIOPSY BONE OPEN DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20240","description":"BIOPSY BONE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20225","description":"BIOPSY BONE TROCAR/NEEDLE DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20225","description":"BIOPSY BONE TROCAR/NEEDLE DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20220","description":"BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST OPEN INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19101","description":"BIOPSY BREAST OPEN INCISIONAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY BREAST OPEN INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19101","description":"BIOPSY BREAST OPEN INCISIONAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57500","description":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57500","description":"BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69105","description":"BIOPSY EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69105","description":"BIOPSY EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69100","description":"BIOPSY EXTERNAL EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY EXTERNAL EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69100","description":"BIOPSY EXTERNAL EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41108","description":"BIOPSY FLOOR MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41108","description":"BIOPSY FLOOR MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30100","description":"BIOPSY INTRANASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30100","description":"BIOPSY INTRANASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER NEEDLE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47000","description":"BIOPSY LIVER NEEDLE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER NEEDLE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47000","description":"BIOPSY LIVER NEEDLE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47100","description":"BIOPSY LIVER WEDGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY LIVER WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47100","description":"BIOPSY LIVER WEDGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20205","description":"BIOPSY MUSCLE DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20206","description":"BIOPSY MUSCLE PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY MUSCLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20200","description":"BIOPSY MUSCLE SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11755","description":"BIOPSY NAIL UNIT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42804","description":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42804","description":"BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64795","description":"BIOPSY NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64795","description":"BIOPSY NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40490","description":"BIOPSY OF LIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OF LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40490","description":"BIOPSY OF LIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OROPHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42800","description":"BIOPSY OROPHARYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OROPHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42800","description":"BIOPSY OROPHARYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58900","description":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58900","description":"BIOPSY OVARY UNI/BI SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42100","description":"BIOPSY PALATE UVULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42100","description":"BIOPSY PALATE UVULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48102","description":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48102","description":"BIOPSY PANCREA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48100","description":"BIOPSY PANCREAS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48100","description":"BIOPSY PANCREAS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32400","description":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32400","description":"BIOPSY PLEURA PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND INCISIONAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42405","description":"BIOPSY SALIVARY GLAND INCISIONAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND INCISIONAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42405","description":"BIOPSY SALIVARY GLAND INCISIONAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42400","description":"BIOPSY SALIVARY GLAND NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SALIVARY GLAND NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42400","description":"BIOPSY SALIVARY GLAND NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21925","description":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21925","description":"BIOPSY SOFT TISSUE BACK/FLANK DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21920","description":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21920","description":"BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25066","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25066","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25065","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25065","description":"BIOPSY SOFT TISSUE FOREARM and /WRIST SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27614","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27613","description":"BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21550","description":"BIOPSY SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21550","description":"BIOPSY SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27040","description":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27040","description":"BIOPSY SOFT TISSUE PELVIS AND HIP AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27041","description":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27041","description":"BIOPSY SOFT TISSUE PELVIS and HIP DEEP/SUBFSCAL/IM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23066","description":"BIOPSY SOFT TISSUE SHOULDER DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23066","description":"BIOPSY SOFT TISSUE SHOULDER DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23065","description":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23065","description":"BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27324","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27324","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27323","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27323","description":"BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24066","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24066","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24065","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24065","description":"BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62269","description":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62269","description":"BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY STOMACH LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43605","description":"BIOPSY STOMACH LAPAROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY STOMACH LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43605","description":"BIOPSY STOMACH LAPAROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60100","description":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60100","description":"BIOPSY THYROID PERCUTANEOUS CORE NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41100","description":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41100","description":"BIOPSY TONGUE ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41105","description":"BIOPSY TONGUE POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY TONGUE POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41105","description":"BIOPSY TONGUE POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53200","description":"BIOPSY URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53200","description":"BIOPSY URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57105","description":"BIOPSY VAGINAL MUCOSA EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57105","description":"BIOPSY VAGINAL MUCOSA EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57100","description":"BIOPSY VAGINAL MUCOSA SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VAGINAL MUCOSA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57100","description":"BIOPSY VAGINAL MUCOSA SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20251","description":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20251","description":"BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20250","description":"BIOPSY VERTEBRAL BODY OPEN THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VERTEBRAL BODY OPEN THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20250","description":"BIOPSY VERTEBRAL BODY OPEN THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40808","description":"BIOPSY VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VESTIBULE MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40808","description":"BIOPSY VESTIBULE MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM 1 LESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56605","description":"BIOPSY VULVA/PERINEUM 1 LESION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM 1 LESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56605","description":"BIOPSY VULVA/PERINEUM 1 LESION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56606","description":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56606","description":"BIOPSY VULVA/PERINEUM EACH ADDL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BIOTINIDASE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82261","description":"BIOTINIDASE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"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":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":"BIOTINIDASE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82261","description":"BIOTINIDASE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"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":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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47143","description":"BKBENCH PREP CADAVER DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44715","description":"BKBENCH PREP CADAVER/LIVING DONOR INTESTINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33944","description":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33944","description":"BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33933","description":"BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32856","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32856","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32855","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32855","description":"BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48551","description":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48551","description":"BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50323","description":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50323","description":"BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47145","description":"BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I AND V VI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47144","description":"BKBENCH PREPJ CADAVER WHOLE LIVER GRF I AND IV VII","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50325","description":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50325","description":"BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50329","description":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50329","description":"BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48552","description":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48552","description":"BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44721","description":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44721","description":"BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44720","description":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44720","description":"BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":213.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":229.7648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.6262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47147","description":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47147","description":"BKBENCH RCNSTJ LVR GRF ARTL ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47146","description":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":262.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":262.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.9856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.9856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47146","description":"BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":262.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":262.7315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.9856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.9856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50327","description":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50327","description":"BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50328","description":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50328","description":"BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51720","description":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51720","description":"BLADDER INSTILLATION ANTICARCINOGENIC AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER PRESSURE MEASUREMENT DURING FILLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51726","description":"BLADDER PRESSURE MEASUREMENT DURING FILLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLADDER PRESSURE MEASUREMENT DURING FILLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51726","description":"BLADDER PRESSURE MEASUREMENT DURING FILLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86079","description":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86079","description":"BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86077","description":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86077","description":"BLD BANK PHYS SVCS DIFFC CROSS MATCH and /EVAL REP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86078","description":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86078","description":"BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85008","description":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85008","description":"BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4253","description":"BLD GLU TEST/REAGT STRIPS HOME BLD GLU MON-50","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38205","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38205","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38206","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38206","description":"BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51700","description":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51700","description":"BLDR IRRIGATION SMPL LAVAGE  and /INSTLJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEEDING TIME TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85002","description":"BLEEDING TIME TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLEEDING TIME TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85002","description":"BLEEDING TIME TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.563,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.563,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.183,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81209","description":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81209","description":"BLM GENE ANALYSIS 2281DEL6INS7 VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD CLOT RETRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85170","description":"BLOOD CLOT RETRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD CLOT RETRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85170","description":"BLOOD CLOT RETRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85004","description":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85004","description":"BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85025","description":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85025","description":"BLOOD COUNT COMPLETE AUTO AND AUTO DIFRNTL WBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85027","description":"BLOOD COUNT COMPLETE AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT COMPLETE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85027","description":"BLOOD COUNT COMPLETE AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85014","description":"BLOOD COUNT HEMATOCRIT","negotiated_rates":[{"provider_references":[210414],"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":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85014","description":"BLOOD COUNT HEMATOCRIT","negotiated_rates":[{"provider_references":[210414],"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":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85018","description":"BLOOD COUNT HEMOGLOBIN","negotiated_rates":[{"provider_references":[210414],"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":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT HEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85018","description":"BLOOD COUNT HEMOGLOBIN","negotiated_rates":[{"provider_references":[210414],"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":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.09,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85048","description":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85048","description":"BLOOD COUNT LEUKOCYTE WBC AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL CELL COUNT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85032","description":"BLOOD COUNT MANUAL CELL COUNT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL CELL COUNT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85032","description":"BLOOD COUNT MANUAL CELL COUNT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85009","description":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85009","description":"BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT PLATELET AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85049","description":"BLOOD COUNT PLATELET AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT PLATELET AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85049","description":"BLOOD COUNT PLATELET AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RED BLOOD CELL AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85041","description":"BLOOD COUNT RED BLOOD CELL AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RED BLOOD CELL AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85041","description":"BLOOD COUNT RED BLOOD CELL AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85045","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85045","description":"BLOOD COUNT RETICULOCYTE AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE MANUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTE MANUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85044","description":"BLOOD COUNT RETICULOCYTE MANUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT  CELL MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85046","description":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT  CELL MEAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT  CELL MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85046","description":"BLOOD COUNT RETICULOCYTES AUTO 1 OR GT  CELL MEAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85007","description":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85007","description":"BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SPUN MICROHEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85013","description":"BLOOD COUNT SPUN MICROHEMATOCRIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD COUNT SPUN MICROHEMATOCRIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85013","description":"BLOOD COUNT SPUN MICROHEMATOCRIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36450","description":"BLOOD EXCHANGE TRANSFUSION NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36455","description":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36455","description":"BLOOD EXCHANGE TRANSFUSION OTHER THAN NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD FOR TRANSFUSION PER UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9010","description":"BLOOD FOR TRANSFUSION PER UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD FOR TRANSFUSION PER UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9010","description":"BLOOD FOR TRANSFUSION PER UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82803","description":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82803","description":"BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.946,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82274","description":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82274","description":"BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.85,"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"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.85,"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"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82272","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82272","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82271","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82271","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD PRESSURE CUFF ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4663","description":"BLOOD PRESSURE CUFF ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85060","description":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85060","description":"BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD SPLIT UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9011","description":"BLOOD SPLIT UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86902","description":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86902","description":"BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86904","description":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86904","description":"BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86905","description":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86905","description":"BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC ABO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86900","description":"BLOOD TYPING SEROLOGIC ABO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC ABO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86900","description":"BLOOD TYPING SEROLOGIC ABO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH (D)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86901","description":"BLOOD TYPING SEROLOGIC RH (D)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH (D)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86901","description":"BLOOD TYPING SEROLOGIC RH (D)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86906","description":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86906","description":"BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLS ROUTINE DISPOSABLE SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0382","description":"BLS ROUTINE DISPOSABLE SUPPLIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BLS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0384","description":"BLS SPECIALIZED SERVICE DISPBL SUPPLIES; DEFIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING 3 PHASE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78315","description":"BONE  and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING 3 PHASE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78315","description":"BONE  and /JOINT IMAGING 3 PHASE STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78300","description":"BONE  and /JOINT IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78300","description":"BONE  and /JOINT IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78305","description":"BONE  and /JOINT IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78305","description":"BONE  and /JOINT IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78306","description":"BONE  and /JOINT IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE  and /JOINT IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78306","description":"BONE  and /JOINT IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE AGE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77072","description":"BONE AGE STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE AGE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77072","description":"BONE AGE STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78350","description":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78350","description":"BONE DENSITY 1 OR GT  SITES 1 PHOTON ABSORPTIOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20902","description":"BONE GRAFT ANY DONOR AREA MAJOR/LARGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20900","description":"BONE GRAFT ANY DONOR AREA MINOR/SMALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20956","description":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1675.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1675.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20956","description":"BONE GRAFT MICROVASCULAR ANAST ILIAC CREST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1675.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1675.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1745.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1745.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20957","description":"BONE GRAFT MICROVASCULAR ANAST METATARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1745.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1745.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20955","description":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1547.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1547.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20955","description":"BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1547.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1547.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1707.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1707.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20962","description":"BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1707.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1707.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE LENGTH STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77073","description":"BONE LENGTH STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE LENGTH STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77073","description":"BONE LENGTH STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77084","description":"BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38230","description":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38230","description":"BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38232","description":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38232","description":"BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78102","description":"BONE MARROW IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78102","description":"BONE MARROW IMAGING LIMITED AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78103","description":"BONE MARROW IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78103","description":"BONE MARROW IMAGING MULTIPLE AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78104","description":"BONE MARROW IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78104","description":"BONE MARROW IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW SMEAR INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85097","description":"BONE MARROW SMEAR INTERPRETATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BONE MARROW SMEAR INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85097","description":"BONE MARROW SMEAR INTERPRETATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.023,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BOTULINUM TOXIN TYPE A PER UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0585","description":"BOTULINUM TOXIN TYPE A PER UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35646","description":"BPG OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35646","description":"BPG OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35631","description":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1109.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35631","description":"BPG OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1109.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35647","description":"BPG OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35647","description":"BPG OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35637","description":"BPG OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1135.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1135.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1232.1592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1232.1592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1301.8669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1301.8669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35637","description":"BPG OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1135.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1135.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1232.1592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1232.1592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1301.8669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1301.8669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35626","description":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35626","description":"BPG OTH/THN VEIN AORTOSUBCLA/INNOMINATE/CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35650","description":"BPG OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35650","description":"BPG OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35621","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35621","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35654","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35654","description":"BPG OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35623","description":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35623","description":"BPG OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35606","description":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":707.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35606","description":"BPG OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":707.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35642","description":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35642","description":"BPG OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35601","description":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35601","description":"BPG OTH/THN VEIN COM CRTD-IPSILATERAL INT CRTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35666","description":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":775.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35666","description":"BPG OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRNL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":775.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35661","description":"BPG OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35661","description":"BPG OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35656","description":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35656","description":"BPG OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35665","description":"BPG OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35665","description":"BPG OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35663","description":"BPG OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35663","description":"BPG OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35671","description":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35671","description":"BPG OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35636","description":"BPG OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":957.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35636","description":"BPG OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":957.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35616","description":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35616","description":"BPG OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35612","description":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35612","description":"BPG OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35645","description":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35645","description":"BPG OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77316","description":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77316","description":"BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRADYKININ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82286","description":"BRADYKININ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRADYKININ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82286","description":"BRADYKININ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAF GENE ANALYSIS V600 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81210","description":"BRAF GENE ANALYSIS V600 VARIANT(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAF GENE ANALYSIS V600 VARIANT(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81210","description":"BRAF GENE ANALYSIS V600 VARIANT(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78600","description":"BRAIN IMAGING  LT 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78600","description":"BRAIN IMAGING  LT 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78601","description":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78601","description":"BRAIN IMAGING  LT 4 STATIC VIEWS W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78606","description":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78606","description":"BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78605","description":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78605","description":"BRAIN IMAGING MINIMUM 4 STATIC VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET METABOLIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78608","description":"BRAIN IMAGING PET METABOLIC EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1001.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1045.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING PET METABOLIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78608","description":"BRAIN IMAGING PET METABOLIC EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1001.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1045.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING VASCULAR FLOW ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78610","description":"BRAIN IMAGING VASCULAR FLOW ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAIN IMAGING VASCULAR FLOW ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78610","description":"BRAIN IMAGING VASCULAR FLOW ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0159","description":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0159","description":"BRAKE ATTACHMENT WHEELED WALKER REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81212","description":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81212","description":"BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81162","description":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1167.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1167.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1605.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81162","description":"BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1167.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1167.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1605.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81215","description":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81215","description":"BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81216","description":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81216","description":"BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81217","description":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81217","description":"BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST AUGMENTATION WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19325","description":"BREAST AUGMENTATION WITH IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST AUGMENTATION WITH IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19325","description":"BREAST AUGMENTATION WITH IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8002","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8002","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM BIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8001","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8001","description":"BREAST PROS MASTECT BRA W/INTEG BREAST FORM UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8000","description":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8000","description":"BREAST PROS MASTECTOMY BRA W/O INTEG PROS FORM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8030","description":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8030","description":"BREAST PROSTH SILICONE/EQUAL W/O INTEGRAL ADHES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS MASTECTOMY FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8020","description":"BREAST PROSTHESIS MASTECTOMY FORM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS MASTECTOMY FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8020","description":"BREAST PROSTHESIS MASTECTOMY FORM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8039","description":"BREAST PROSTHESIS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"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":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP ELECTRIC  ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0603","description":"BREAST PUMP ELECTRIC  ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0604","description":"BREAST PUMP HEVY DUTY HOSP GRADE PISTON OP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP MANUAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0602","description":"BREAST PUMP MANUAL ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST PUMP MANUAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0602","description":"BREAST PUMP MANUAL ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19368","description":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19368","description":"BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19369","description":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1282.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19369","description":"BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1282.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION FREE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19364","description":"BREAST RECONSTRUCTION FREE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1726.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1726.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19367","description":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1131.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19367","description":"BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1131.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19368","description":"BREAST RECONSTRUCTION TRAM 1 PEDCL MVASC ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19367","description":"BREAST RECONSTRUCTION TRAM FLAP 1 PEDICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1131.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19369","description":"BREAST RECONSTRUCTION TRAM FLAP DOUBLE PEDICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1282.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1282.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/FREE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19364","description":"BREAST RECONSTRUCTION W/FREE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1726.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1726.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/FREE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19364","description":"BREAST RECONSTRUCTION W/FREE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1726.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1726.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19361","description":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":996.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19361","description":"BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":996.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19318","description":"BREAST REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREAST REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19318","description":"BREAST REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATH HYDROGEN/METHANE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91065","description":"BREATH HYDROGEN/METHANE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATH HYDROGEN/METHANE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91065","description":"BREATH HYDROGEN/METHANE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING CIRCUITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4618","description":"BREATHING CIRCUITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING CIRCUITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4618","description":"BREATHING CIRCUITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO HYPOXIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94450","description":"BREATHING RESPONSE TO HYPOXIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BREATHING RESPONSE TO HYPOXIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94450","description":"BREATHING RESPONSE TO HYPOXIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94060","description":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94060","description":"BRNCDILAT RSPSE SPMTRY PRE AND POST-BRNCDILAT ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31623","description":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31623","description":"BRNCHSC BRUSHING/PROTECTED BRUSHINGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31622","description":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31622","description":"BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31638","description":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31638","description":"BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31624","description":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31624","description":"BRNCHSC W/BRNCL ALVEOLAR LAVAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31641","description":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31641","description":"BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31636","description":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31636","description":"BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31643","description":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31643","description":"BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31630","description":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31630","description":"BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94070","description":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94070","description":"BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31775","description":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31775","description":"BRONCHOPLASTY EXCISION STENOSIS  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY GRAFT REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31770","description":"BRONCHOPLASTY GRAFT REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":815.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOPLASTY GRAFT REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31770","description":"BRONCHOPLASTY GRAFT REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":815.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BALLOON OCCLUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31634","description":"BRONCHOSCOPY BALLOON OCCLUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1485.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1485.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1682.8709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1682.8709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1943.5316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1943.5316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BALLOON OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31634","description":"BRONCHOSCOPY BALLOON OCCLUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1485.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1485.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1682.8709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1682.8709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1943.5316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1943.5316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31625","description":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31625","description":"BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1 Plus  SITES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31637","description":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31637","description":"BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31629","description":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31629","description":"BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM and /BRON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31627","description":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1050.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1050.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1193.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1193.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1381.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1381.5948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31627","description":"BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1050.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1050.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1193.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1193.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1381.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1381.5948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/EXCISION TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31640","description":"BRONCHOSCOPY W/EXCISION TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/EXCISION TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31640","description":"BRONCHOSCOPY W/EXCISION TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31631","description":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31631","description":"BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31626","description":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1041.9077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1041.9077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":909.1057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":909.1057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31626","description":"BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1041.9077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1041.9077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.6378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":909.1057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":909.1057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31635","description":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31635","description":"BRONCHOSCOPY W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31645","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31645","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31646","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31646","description":"BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31628","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31628","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31632","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31632","description":"BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31633","description":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31633","description":"BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19357","description":"BRST RCNSTJ IMMT/DLYD W/TISS EXPANDER SBSQ XPNSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":752.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19361","description":"BRST RCNSTJ W/LATSMS D/SI FLAP WO PRSTHC IMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":996.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58954","description":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1372.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58954","description":"BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1372.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58953","description":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1268.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58953","description":"BSO W/OMENTECTOMY TAH and RAD DEBULKING DISSECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1268.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58956","description":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":864.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58956","description":"BSO W/TOT OMENTECTOMY  and  HYSTERECTOMY MALIGNANC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":864.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":864.556,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7627","description":"BUDESONIDE INHAL CP PROD UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7626","description":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7626","description":"BUDESONIDE INHAL NON-CP UNIT DOSE UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUNDLE OF HIS RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93600","description":"BUNDLE OF HIS RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BUNDLE OF HIS RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93600","description":"BUNDLE OF HIS RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.312,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.06,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE FOR VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61120","description":"BURR HOLE FOR VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE FOR VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61120","description":"BURR HOLE FOR VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61210","description":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61210","description":"BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61120","description":"BURR HOLE VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61156","description":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61156","description":"BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA EXTRADURAL/SDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE W/EVAC and /DRG HEMATOMA XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61154","description":"BURR HOLE W/EVAC and /DRG HEMATOMA XDRL/SDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61253","description":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61253","description":"BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61250","description":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61250","description":"BURR HOLE/TREPHINE STTL EXPL N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61250","description":"BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61140","description":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":811.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61140","description":"BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":811.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61150","description":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":857.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61150","description":"BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":857.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61151","description":"BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49180","description":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49180","description":"BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ANORECTAL WALL ANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45100","description":"BX ANORECTAL WALL ANAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX ANORECTAL WALL ANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45100","description":"BX ANORECTAL WALL ANAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19100","description":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19100","description":"BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19085","description":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19085","description":"BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19081","description":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19081","description":"BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19083","description":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19083","description":"BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19086","description":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19086","description":"BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19082","description":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19082","description":"BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19084","description":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19084","description":"BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44100","description":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","negotiated_rates":[{"provider_references":[210414],"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":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44100","description":"BX INTESTINE CAPSULE TUBE PRORAL 1 OR GT  SPECIMENS","negotiated_rates":[{"provider_references":[210414],"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":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47001","description":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47001","description":"BX LVR NDL DONE PURPOSE TM OTH MAJOR PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42806","description":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42806","description":"BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55706","description":"BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55706","description":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55706","description":"BX PRST8 NDL STRTCTC SATURATION SAMPLING IMG GID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38505","description":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38505","description":"BX/EXC LYMPH NODE NEEDLE SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38525","description":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38525","description":"BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38510","description":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38510","description":"BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38530","description":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38530","description":"BX/EXC LYMPH NODE OPEN INT MAMMARY NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38500","description":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38500","description":"BX/EXC LYMPH NODE OPEN SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38520","description":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38520","description":"BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35682","description":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35682","description":"BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35683","description":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35683","description":"BYP AUTOG COMPOSIT 3 OR GT  SEG FROM 2 OR GT  LOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35566","description":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":996.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35566","description":"BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":996.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":996.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOBIFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35646","description":"BYP OTH/THN VEIN AORTOBIFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35631","description":"BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1109.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1109.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35647","description":"BYP OTH/THN VEIN AORTOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35637","description":"BYP OTH/THN VEIN AORTOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1135.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1135.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1232.1592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1232.1592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1301.8669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1301.8669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35650","description":"BYP OTH/THN VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35621","description":"BYP OTH/THN VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35654","description":"BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35623","description":"BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN CAROTID-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35606","description":"BYP OTH/THN VEIN CAROTID-SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":707.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35642","description":"BYP OTH/THN VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35601","description":"BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35666","description":"BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":775.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35661","description":"BYP OTH/THN VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35656","description":"BYP OTH/THN VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35665","description":"BYP OTH/THN VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35663","description":"BYP OTH/THN VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35671","description":"BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35636","description":"BYP OTH/THN VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":957.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35616","description":"BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35612","description":"BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35645","description":"BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35570","description":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1101.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1101.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1168.7309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1168.7309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1198.3241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1198.3241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1265.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1265.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1266.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1266.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1336.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1336.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35570","description":"BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1101.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1101.9291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1168.7309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1168.7309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1198.3241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1198.3241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1265.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1265.9943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1266.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1266.7959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1336.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1336.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35571","description":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35571","description":"BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35681","description":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35681","description":"BYPASS COMPOSITE GRAFT PROSTHETIC  AND  VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35632","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1382.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1382.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1464.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1464.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1495.7591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1495.7591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1580.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1580.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1588.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1588.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1677.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1677.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35632","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1251.3313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1359.0826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1382.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1382.2628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1434.3682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1464.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1464.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1495.7591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1495.7591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1580.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1580.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1588.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1588.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1677.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1677.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35633","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1495.5921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1495.5921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1611.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1611.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1624.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1624.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1718.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1718.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1750.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1750.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1851.4787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1851.4787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35633","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1348.8619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1461.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1495.5921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1495.5921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1545.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1611.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1611.5934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1624.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1624.0186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1718.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1718.9773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1750.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1750.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1851.4787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1851.4787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35634","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1202.1318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1202.1318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1299.8294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1299.8294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1318.1331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1318.1331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1372.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1372.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1426.7528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1426.7528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1431.4624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1431.4624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1504.5101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1504.5101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1555.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1555.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1642.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1642.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35634","description":"BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1202.1318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1202.1318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1299.8294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1299.8294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1318.1331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1318.1331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1372.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1372.0088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1426.7528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1426.7528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1431.4624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1431.4624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1504.5101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1504.5101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1555.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1555.0123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1642.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1642.9235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35626","description":"BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35531","description":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1168.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1168.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35531","description":"BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1168.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1168.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35560","description":"BYPASS W/VEIN AORTORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1023.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1023.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35560","description":"BYPASS W/VEIN AORTORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1023.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1023.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35526","description":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35526","description":"BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35518","description":"BYPASS W/VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35518","description":"BYPASS W/VEIN AXILLARY-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35522","description":"BYPASS W/VEIN AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":703.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35522","description":"BYPASS W/VEIN AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":703.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35521","description":"BYPASS W/VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":739.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35521","description":"BYPASS W/VEIN AXILLARY-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":739.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":739.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35533","description":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":905.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35533","description":"BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":905.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35525","description":"BYPASS W/VEIN BRACHIAL-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35525","description":"BYPASS W/VEIN BRACHIAL-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35523","description":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":740.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35523","description":"BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":740.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35510","description":"BYPASS W/VEIN CAROTID-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35510","description":"BYPASS W/VEIN CAROTID-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35509","description":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35509","description":"BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":847.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":847.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35506","description":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35506","description":"BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35508","description":"BYPASS W/VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":800.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN CAROTID-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35508","description":"BYPASS W/VEIN CAROTID-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":800.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35501","description":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35501","description":"BYPASS W/VEIN COMMON-IPSILATERAL CAROTID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35558","description":"BYPASS W/VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35558","description":"BYPASS W/VEIN FEMORAL-FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35556","description":"BYPASS W/VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35556","description":"BYPASS W/VEIN FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN HEPATORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35535","description":"BYPASS W/VEIN HEPATORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1284.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1284.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1392.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1392.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1464.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1464.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1469.4392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1469.4392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1547.4637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1547.4637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1588.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1588.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1677.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1677.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1681.9357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1681.9357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1775.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1775.4248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN HEPATORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35535","description":"BYPASS W/VEIN HEPATORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":116.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":126.9234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1284.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1284.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":132.5014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1392.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1392.9177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1464.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1464.8633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1469.4392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1469.4392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1547.4637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1547.4637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1588.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1588.8474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1677.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1677.9944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1681.9357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1681.9357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1775.4248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1775.4248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35565","description":"BYPASS W/VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35565","description":"BYPASS W/VEIN ILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35563","description":"BYPASS W/VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":796.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN ILIOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35563","description":"BYPASS W/VEIN ILIOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":796.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35536","description":"BYPASS W/VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1014.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SPLENORENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35536","description":"BYPASS W/VEIN SPLENORENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1014.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35516","description":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35516","description":"BYPASS W/VEIN SUBCLAVIAN-AXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35512","description":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35512","description":"BYPASS W/VEIN SUBCLAVIAN-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35511","description":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":673.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35511","description":"BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":673.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":673.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35515","description":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":800.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35515","description":"BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":800.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Breathing circuits","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4618","description":"Breathing circuits","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Bundle of His recording","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93600","description":"Bundle of His recording","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86140","description":"C-REACTIVE PROTEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86140","description":"C-REACTIVE PROTEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN HIGH SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86141","description":"C-REACTIVE PROTEIN HIGH SENSITIVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-REACTIVE PROTEIN HIGH SENSITIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86141","description":"C-REACTIVE PROTEIN HIGH SENSITIVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86140","description":"C-reactive protein","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33536","description":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33536","description":"CABG W/ARTERIAL GRAFT FOUR OR GT ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33533","description":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1144.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33533","description":"CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1144.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1144.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33535","description":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1491.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1491.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33535","description":"CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1491.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1491.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33534","description":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1343.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33534","description":"CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1343.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81184","description":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81184","description":"CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CADMIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82300","description":"CADMIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CADMIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82300","description":"CADMIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAFFEINE HALOTHANE CONTRACTURE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89049","description":"CAFFEINE HALOTHANE CONTRACTURE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAFFEINE HALOTHANE CONTRACTURE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89049","description":"CAFFEINE HALOTHANE CONTRACTURE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82308","description":"CALCITONIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82308","description":"CALCITONIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.573,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.573,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80410","description":"CALCITONIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[210414],"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":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCITONIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80410","description":"CALCITONIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[210414],"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":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM AFTER CALCIUM INFUSION TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82331","description":"CALCIUM AFTER CALCIUM INFUSION TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM AFTER CALCIUM INFUSION TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82331","description":"CALCIUM AFTER CALCIUM INFUSION TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82330","description":"CALCIUM IONIZED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM IONIZED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82330","description":"CALCIUM IONIZED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82310","description":"CALCIUM TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82310","description":"CALCIUM TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.543,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82340","description":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82340","description":"CALCIUM URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS INFRARED SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82365","description":"CALCULUS INFRARED SPECTROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS INFRARED SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82365","description":"CALCULUS INFRARED SPECTROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUALITATIVE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82355","description":"CALCULUS QUALITATIVE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUALITATIVE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82355","description":"CALCULUS QUALITATIVE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUANTITATIVE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82360","description":"CALCULUS QUANTITATIVE CHEMICAL","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS QUANTITATIVE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82360","description":"CALCULUS QUANTITATIVE CHEMICAL","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS XRAY DIFFRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82370","description":"CALCULUS XRAY DIFFRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALCULUS XRAY DIFFRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82370","description":"CALCULUS XRAY DIFFRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALIBRATED MICROCAPILLARY TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4651","description":"CALIBRATED MICROCAPILLARY TUBE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92537","description":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92537","description":"CALORIC VESTIBULAR TEST W/REC BI BITHERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92538","description":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92538","description":"CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0051","description":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0051","description":"CAM RLS ASSEM FOOTREST/LEGREST REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANALITH REPOSITIONING PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95992","description":"CANALITH REPOSITIONING PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANALITH REPOSITIONING PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95992","description":"CANALITH REPOSITIONING PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0100","description":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0100","description":"CANE INCL CANES ALL MATERIAL ADJUSTBLE/FIX W/TIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0105","description":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0105","description":"CANE QUAD/3-PRONG ALL MATL ADJUSTBL/FIX W/TIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7000","description":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7000","description":"CANISTER DISPOSABLE USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7001","description":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7001","description":"CANISTER NON-DISPOSABLE USED W/SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.973,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULA NASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4615","description":"CANNULA NASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULATION THORACIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38794","description":"CANNULATION THORACIC DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CANNULATION THORACIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38794","description":"CANNULATION THORACIC DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25320","description":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25320","description":"CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27036","description":"CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28262","description":"CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL and TDN LNGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28270","description":"CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULAR CONTRACTURE RELEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23020","description":"CAPSULAR CONTRACTURE RELEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULAR CONTRACTURE RELEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23020","description":"CAPSULAR CONTRACTURE RELEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27036","description":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27036","description":"CAPSULECTOMY/CAPSULOTOMY HIP W/RLS HIP FLXR MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26525","description":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26525","description":"CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26520","description":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26520","description":"CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26517","description":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26517","description":"CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26518","description":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26518","description":"CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26516","description":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26516","description":"CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23450","description":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23450","description":"CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23462","description":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23462","description":"CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23455","description":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23455","description":"CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23460","description":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23460","description":"CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23465","description":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23465","description":"CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23466","description":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23466","description":"CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28272","description":"CAPSULOTOMY IPHAL JOINT EACH JOINT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28260","description":"CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28261","description":"CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY MIDTARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28264","description":"CAPSULOTOMY MIDTARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27435","description":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27435","description":"CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25085","description":"CAPSULOTOMY WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAPSULOTOMY WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25085","description":"CAPSULOTOMY WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.506,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38227","description":"CAR-T THERAPY RECEIPT  and  PREPJ CAR-T CELLS F/ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"CARBOHYDRATE DEFICIENT TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82373","description":"CARBOHYDRATE DEFICIENT TRANSFERRIN","negotiated_rates":[{"provider_references":[210414],"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":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOHYDRATE DEFICIENT TRANSFERRIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82373","description":"CARBOHYDRATE DEFICIENT TRANSFERRIN","negotiated_rates":[{"provider_references":[210414],"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":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBON DIOXIDE BICARBONATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82374","description":"CARBON DIOXIDE BICARBONATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"CARBON DIOXIDE BICARBONATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82374","description":"CARBON DIOXIDE BICARBONATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82376","description":"CARBOXYHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82376","description":"CARBOXYHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARBOXYHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82375","description":"CARBOXYHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.846,"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":"CARBOXYHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82375","description":"CARBOXYHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.846,"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":"CARCINOEMBRYONIC ANTIGEN CEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82378","description":"CARCINOEMBRYONIC ANTIGEN CEA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARCINOEMBRYONIC ANTIGEN CEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82378","description":"CARCINOEMBRYONIC ANTIGEN CEA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78496","description":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78496","description":"CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78473","description":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78473","description":"CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78494","description":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78494","description":"CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78481","description":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78481","description":"CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78483","description":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78483","description":"CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78472","description":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78472","description":"CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78414","description":"CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75565","description":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75565","description":"CARDIAC MRI FOR VELOCITY FLOW MAPPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75557","description":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75557","description":"CARDIAC MRI MORPHOLOGY  and  FUNCTION W/O CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75559","description":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75559","description":"CARDIAC MRI W/O CONTRAST W/STRESS IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/W/O CONTRAST W/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75563","description":"CARDIAC MRI W/W/O CONTRAST W/STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/W/O CONTRAST W/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75563","description":"CARDIAC MRI W/W/O CONTRAST W/STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75561","description":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75561","description":"CARDIAC MRI W/WO CONTRAST  and  FURTHER SEQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC SHUNT DETECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78428","description":"CARDIAC SHUNT DETECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIAC SHUNT DETECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78428","description":"CARDIAC SHUNT DETECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92971","description":"CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92970","description":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92970","description":"CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLIPIN ANTIBODY EACH IG CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86147","description":"CARDIOLIPIN ANTIBODY EACH IG CLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOLIPIN ANTIBODY EACH IG CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86147","description":"CARDIOLIPIN ANTIBODY EACH IG CLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY EXERCISE TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94621","description":"CARDIOPULMONARY EXERCISE TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY EXERCISE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94621","description":"CARDIOPULMONARY EXERCISE TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92950","description":"CARDIOPULMONARY RESUSCITATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOPULMONARY RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92950","description":"CARDIOPULMONARY RESUSCITATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33315","description":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1165.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33315","description":"CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1165.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33310","description":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":720.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33310","description":"CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":720.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93660","description":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93660","description":"CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92960","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92960","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92961","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92961","description":"CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96161","description":"CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97550","description":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97550","description":"CAREGIVER TRAINING STRATEGIES and TQ 1ST 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97551","description":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97551","description":"CAREGIVER TRAINING STRATEGIES and TQ EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARINAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31766","description":"CARINAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1087.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARINAL RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31766","description":"CARINAL RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1087.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARNITINE QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82379","description":"CARNITINE QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"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":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":"CARNITINE QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82379","description":"CARNITINE QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"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":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":"CAROTENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82380","description":"CAROTENE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAROTENE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82380","description":"CAROTENE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY 1 BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25210","description":"CARPECTOMY 1 BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY 1 BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25210","description":"CARPECTOMY 1 BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY ALL BONES PROXIMAL ROW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25215","description":"CARPECTOMY ALL BONES PROXIMAL ROW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARPECTOMY ALL BONES PROXIMAL ROW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25215","description":"CARPECTOMY ALL BONES PROXIMAL ROW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT COSTOCHONDRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20910","description":"CARTILAGE GRAFT COSTOCHONDRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT COSTOCHONDRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20910","description":"CARTILAGE GRAFT COSTOCHONDRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20912","description":"CARTILAGE GRAFT NASAL SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CARTILAGE GRAFT NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20912","description":"CARTILAGE GRAFT NASAL SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4036","description":"CAST SPL LONG LEG CYCLE CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4014","description":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4014","description":"CAST SUPPLIES GAUNTLET CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4016","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4016","description":"CAST SUPPLIES GAUNTLET CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4034","description":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4034","description":"CAST SUPPLIES LNG LEG CYCLE CAST ADLT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4006","description":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4006","description":"CAST SUPPLIES LONG ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4008","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4007","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4007","description":"CAST SUPPLIES LONG ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4018","description":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4018","description":"CAST SUPPLIES LONG ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4020","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4020","description":"CAST SUPPLIES LONG ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4030","description":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4030","description":"CAST SUPPLIES LONG LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4032","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4032","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4031","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4031","description":"CAST SUPPLIES LONG LEG CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4042","description":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4042","description":"CAST SUPPLIES LONG LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4044","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4044","description":"CAST SUPPLIES LONG LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4010","description":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4010","description":"CAST SUPPLIES SHORT ARM CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4009","description":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4009","description":"CAST SUPPLIES SHORT ARM CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.891,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4012","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4012","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4011","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4011","description":"CAST SUPPLIES SHORT ARM CAST PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4022","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4022","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4021","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4021","description":"CAST SUPPLIES SHORT ARM SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4024","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4024","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4023","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4023","description":"CAST SUPPLIES SHORT ARM SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.653,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4038","description":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4038","description":"CAST SUPPLIES SHORT LEG CAST ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4037","description":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4037","description":"CAST SUPPLIES SHORT LEG CAST ADULT PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.561,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.561,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4040","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4040","description":"CAST SUPPLIES SHORT LEG CAST PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4046","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4046","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT FIBERGLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.652,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4045","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4045","description":"CAST SUPPLIES SHORT LEG SPLINT ADULT PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4048","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4048","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC FIBRGLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4047","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4047","description":"CAST SUPPLIES SHORT LEG SPLINT PEDIATRIC PLASTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CASTER PIN LOCK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0073","description":"CASTER PIN LOCK EACH","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"CASTER PIN LOCK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0073","description":"CASTER PIN LOCK EACH","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82383","description":"CATECHOLAMINES BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82383","description":"CATECHOLAMINES BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82384","description":"CATECHOLAMINES FRACTIONATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES FRACTIONATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82384","description":"CATECHOLAMINES FRACTIONATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.22,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES TOTAL URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82382","description":"CATECHOLAMINES TOTAL URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATECHOLAMINES TOTAL URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82382","description":"CATECHOLAMINES TOTAL URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.024,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.467,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31725","description":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31725","description":"CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9612","description":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9612","description":"CATH CLCT SPECIMEN SINGLE PT ALL PLACES SERVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93454","description":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93454","description":"CATH PLACEMENT  AND  NJX CORONARY ART ANGIO IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93455","description":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93455","description":"CATH PLMT  and  NJX CORONARY ART/GRFT ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93458","description":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93458","description":"CATH PLMT L HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93459","description":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93459","description":"CATH PLMT L HRT/ARTS/GRFTS WNJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93456","description":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93456","description":"CATH PLMT R HRT  and  ARTS W/NJX  and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93457","description":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":770.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93457","description":"CATH PLMT R HRT/ARTS/GRFTS W/NJX and  ANGIO IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":770.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":770.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHEPSIN-D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82387","description":"CATHEPSIN-D","negotiated_rates":[{"provider_references":[210414],"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":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHEPSIN-D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82387","description":"CATHEPSIN-D","negotiated_rates":[{"provider_references":[210414],"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":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ASPIRATION NASOTRACHEAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31720","description":"CATHETER ASPIRATION NASOTRACHEAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETER ASPIRATION NASOTRACHEAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31720","description":"CATHETER ASPIRATION NASOTRACHEAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.308,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36660","description":"CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31717","description":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31717","description":"CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CATHJ UMBILICAL VEIN DX/THER NB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36510","description":"CATHJ UMBILICAL VEIN DX/THER NB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57511","description":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57511","description":"CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX ELECTRO/THERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57510","description":"CAUTERY CERVIX ELECTRO/THERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX ELECTRO/THERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57510","description":"CAUTERY CERVIX ELECTRO/THERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX LASER ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57513","description":"CAUTERY CERVIX LASER ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CAUTERY CERVIX LASER ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57513","description":"CAUTERY CERVIX LASER ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92548","description":"CDP-SOT 6 CONDITIONS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89051","description":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89051","description":"CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISCELLANEOUS BODY FLUIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89050","description":"CELL COUNT MISCELLANEOUS BODY FLUIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELL COUNT MISCELLANEOUS BODY FLUIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89050","description":"CELL COUNT MISCELLANEOUS BODY FLUIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86352","description":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86352","description":"CELLULAR FUNCTION ASSAY STIMUL AND DETECT BIOMARKE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION OF WRIST ON ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION OF WRIST ON ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25335","description":"CENTRALIZATION OF WRIST ON ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CENTRALIZATION WRST ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25335","description":"CENTRALIZATION WRST ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALOGRAM ORTHODONTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70350","description":"CEPHALOGRAM ORTHODONTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEPHALOGRAM ORTHODONTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70350","description":"CEPHALOGRAM ORTHODONTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59325","description":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59325","description":"CERCLAGE CERVIX PREGNANCY ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY VAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59320","description":"CERCLAGE CERVIX PREGNANCY VAGINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE CERVIX PREGNANCY VAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59320","description":"CERCLAGE CERVIX PREGNANCY VAGINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57700","description":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57700","description":"CERCLAGE UTERINE CERVIX NONOBSTETRICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78630","description":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78630","description":"CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78645","description":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78645","description":"CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78635","description":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78635","description":"CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78650","description":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78650","description":"CEREBROSPINAL FLUID LEAK DETECTION AND LOCALIZATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERULOPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82390","description":"CERULOPLASMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERULOPLASMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82390","description":"CERULOPLASMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0130","description":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0130","description":"CERV FLEXIBLE THERMOPLASTIC COLLAR MOLDED PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0180","description":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0180","description":"CERV MX POST COLLAR OCCIP/MAND SUPPORTS ADJUSTBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0200","description":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0200","description":"CERV MX POST COLLR OCCIP/MAND ADJ CERV and THOR EXT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.177,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0190","description":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0190","description":"CERV MX POST COLLR OCCIP/MAND SUPP ADJ CERV BARS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0170","description":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0170","description":"CERVICAL COLLAR MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0174","description":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0174","description":"CERVICAL COLLAR SEMI-RIGID FOAM THOR EXT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0172","description":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0172","description":"CERVICAL COLLAR SEMI-RIGID FOAM TWO PIECE PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.262,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0120","description":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0120","description":"CERVICAL FLEXIBLE NONADJUSTABLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL HEAD HARNESS/HALTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0942","description":"CERVICAL HEAD HARNESS/HALTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38724","description":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38724","description":"CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38720","description":"CERVICAL LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1001.8266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1001.8266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1081.9888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1081.9888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1102.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1102.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1199.0923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1199.0923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1296.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1296.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":827.6409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":827.6409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":898.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":898.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":925.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":925.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":970.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":970.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38720","description":"CERVICAL LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1001.8266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1001.8266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1081.9888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1081.9888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1102.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1102.6305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1199.0923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1199.0923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1296.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1296.4559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":827.6409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":827.6409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":898.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":898.9852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":925.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":925.1715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":970.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":970.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0140","description":"CERVICAL SEMI-RIGID ADJUSTABLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0140","description":"CERVICAL SEMI-RIGID ADJUSTABLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0150","description":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0150","description":"CERVICAL SEMI-RIGID ADJUSTABLE MOLDED CHIN CUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.987,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0160","description":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0160","description":"CERVICAL SEMI-RIGID WIRE FRAME OCCIP/MAND PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59620","description":"CESAREAN DELIVERY ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1320.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59620","description":"CESAREAN DELIVERY ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1320.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1320.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59514","description":"CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1287.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":975.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59514","description":"CESAREAN DELIVERY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1287.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1287.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":975.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59515","description":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1449.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1449.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1761.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1761.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59515","description":"CESAREAN DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1449.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1449.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1761.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1761.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59622","description":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1503.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1503.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1814.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1814.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59622","description":"CESAREAN DLVRY  AND  POSTPARTUM CARE ATTEMPTED VBA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1503.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1503.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1814.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1814.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81220","description":"CFTR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CFTR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81220","description":"CFTR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51710","description":"CHANGE CYSTOSTOMY TUBE COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51710","description":"CHANGE CYSTOSTOMY TUBE COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51705","description":"CHANGE CYSTOSTOMY TUBE SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE CYSTOSTOMY TUBE SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51705","description":"CHANGE CYSTOSTOMY TUBE SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75984","description":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75984","description":"CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17250","description":"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.715,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15789","description":"CHEMICAL PEEL FACIAL DERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15789","description":"CHEMICAL PEEL FACIAL DERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15788","description":"CHEMICAL PEEL FACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":248.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":248.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":343.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":343.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":384.2106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":384.2106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL FACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15788","description":"CHEMICAL PEEL FACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":248.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":248.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":343.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":343.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":384.2106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":384.2106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15793","description":"CHEMICAL PEEL NONFACIAL DERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":433.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":433.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.8919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.8919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":550.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":550.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL DERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15793","description":"CHEMICAL PEEL NONFACIAL DERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":433.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":433.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.8919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.8919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":550.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":550.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15792","description":"CHEMICAL PEEL NONFACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":217.7739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":217.7739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":312.6324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":312.6324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMICAL PEEL NONFACIAL EPIDERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15792","description":"CHEMICAL PEEL NONFACIAL EPIDERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":217.7739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":217.7739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":312.6324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":312.6324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMILUMINESCENT ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82397","description":"CHEMILUMINESCENT ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMILUMINESCENT ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82397","description":"CHEMILUMINESCENT ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64611","description":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64611","description":"CHEMODENERV PAROTID AND SUBMANDIBL SALIVARY GLNDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64650","description":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64650","description":"CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64653","description":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64653","description":"CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46505","description":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46505","description":"CHEMODENERVATION INTERNAL ANAL SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64616","description":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.6572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.6572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64616","description":"CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":110.6572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":110.6572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":129.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":129.5955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.3253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64615","description":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64615","description":"CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64612","description":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64612","description":"CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTAXIS ASSAY SPECIFY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86155","description":"CHEMOTAXIS ASSAY SPECIFY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTAXIS ASSAY SPECIFY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86155","description":"CHEMOTAXIS ASSAY SPECIFY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96422","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96422","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS  LT 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96420","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96420","description":"CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96406","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96406","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  GT 7","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96405","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96405","description":"CHEMOTHERAPY ADMINISTRATION INTRALESIONAL  LT 7","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96423","description":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96423","description":"CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96415","description":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96415","description":"CHEMOTHERAPY ADMN IV INFUSION TQ EA HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96450","description":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96450","description":"CHEMOTX ADMN CNS REQ SPINAL PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96425","description":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96425","description":"CHEMOTX ADMN IA NFS  GT 8 HR PRTBLE IMPLTBL PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96417","description":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96417","description":"CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96413","description":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96413","description":"CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96409","description":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96409","description":"CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96411","description":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96411","description":"CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96446","description":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96446","description":"CHEMOTX ADMN PERTL CAVITY IMPLANTED PORT/CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96440","description":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":712.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":712.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":806.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":806.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":930.7829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":930.7829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96440","description":"CHEMOTX ADMN PLEURAL CAVITY REQ and W/THORACNTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":712.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":712.1072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":806.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":806.2643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":930.7829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":930.7829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN PRTL CAVITY PORT/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96446","description":"CHEMOTX ADMN PRTL CAVITY PORT/CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96402","description":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96402","description":"CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96401","description":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96401","description":"CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96416","description":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96416","description":"CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96542","description":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96542","description":"CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEMS/ANTISEPTICS SOL CLEAN/STERILIZE DIALY 8OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4674","description":"CHEMS/ANTISEPTICS SOL CLEAN/STERILIZE DIALY 8OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHEST SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0457","description":"CHEST SHELL","negotiated_rates":[{"provider_references":[210414],"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":"CHEST WRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0459","description":"CHEST WRAP","negotiated_rates":[{"provider_references":[210414],"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":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7036","description":"CHINSTRAP USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98940","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98941","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98942","description":"CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMPHENICOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82415","description":"CHLORAMPHENICOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORAMPHENICOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82415","description":"CHLORAMPHENICOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORHEXIDINE CONTAINING ANTISEPTIC 1 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4248","description":"CHLORHEXIDINE CONTAINING ANTISEPTIC 1 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82435","description":"CHLORIDE BLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82435","description":"CHLORIDE BLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82438","description":"CHLORIDE OTHER SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"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":"CHLORIDE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82438","description":"CHLORIDE OTHER SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"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":"CHLORIDE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82436","description":"CHLORIDE URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORIDE URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82436","description":"CHLORIDE URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORINATED HYDROCARBONS SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82441","description":"CHLORINATED HYDROCARBONS SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHLORINATED HYDROCARBONS SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82441","description":"CHLORINATED HYDROCARBONS SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50688","description":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50688","description":"CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74301","description":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74301","description":"CHOLANGIO and /PANCREATOGRAPHY ADDL SET INTRAOP RS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74300","description":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74300","description":"CHOLANGIOGRAPHY and /PANCREATOGRAPHY NTRAOP RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47620","description":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47620","description":"CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47741","description":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":926.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47741","description":"CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":926.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":926.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47480","description":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47480","description":"CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47600","description":"CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":675.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47600","description":"CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":675.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47612","description":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":797.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47612","description":"CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":797.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":797.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47605","description":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47605","description":"CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47610","description":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47610","description":"CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47720","description":"CHOLECYSTOENTEROSTOMY DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47720","description":"CHOLECYSTOENTEROSTOMY DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47740","description":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":825.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47740","description":"CHOLECYSTOENTEROSTOMY ROUX-EN-Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":825.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47721","description":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":851.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47721","description":"CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":851.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOGRAPHY ORAL CONTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74290","description":"CHOLECYSTOGRAPHY ORAL CONTRST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOGRAPHY ORAL CONTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74290","description":"CHOLECYSTOGRAPHY ORAL CONTRST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47490","description":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47490","description":"CHOLECYSTOSTOMY PRQ W/IMAGING  and  CATHETER PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47420","description":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47420","description":"CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47425","description":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":857.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47425","description":"CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":857.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82465","description":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82465","description":"CHOLESTEROL SERUM/WHOLE BLOOD TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95857","description":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95857","description":"CHOLINESTERASE INHIBITOR CHALLENGE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82482","description":"CHOLINESTERASE RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE RBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82482","description":"CHOLINESTERASE RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82480","description":"CHOLINESTERASE SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHOLINESTERASE SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82480","description":"CHOLINESTERASE SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHONDROITIN B SULFATE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82485","description":"CHONDROITIN B SULFATE QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHONDROITIN B SULFATE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82485","description":"CHONDROITIN B SULFATE QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIONIC VILLUS SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59015","description":"CHORIONIC VILLUS SAMPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORIONIC VILLUS SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59015","description":"CHORIONIC VILLUS SAMPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80415","description":"CHORNC GONAD STIMJ PANEL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80414","description":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80414","description":"CHORNC GONAD STIMJ PANEL TSTOSTERONE RESPONSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80415","description":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80415","description":"CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88267","description":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88267","description":"CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88285","description":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88285","description":"CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88289","description":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88289","description":"CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88280","description":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88280","description":"CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88283","description":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88283","description":"CHRMSM ANALYSIS ADDL SPECIALIZED BANDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYZE 20-25 CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88264","description":"CHRMSM ANALYZE 20-25 CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM ANALYZE 20-25 CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88264","description":"CHRMSM ANALYZE 20-25 CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88248","description":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88248","description":"CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88245","description":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88245","description":"CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88249","description":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88249","description":"CHRMSM BREAKAGE SYNDS SCORE 100 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88262","description":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88262","description":"CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88263","description":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88263","description":"CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88261","description":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88261","description":"CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88269","description":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88269","description":"CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9564","description":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9564","description":"CHROMIC PHOSHATE P-32 SUSP THERAPEUTIC PER MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9553","description":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9553","description":"CHROMIUM CR-51 SODIUM CHROMATE DX UP TO 250 UCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOGENIC SUBSTRATE ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85130","description":"CHROMOGENIC SUBSTRATE ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CHROMOGENIC SUBSTRATE ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85130","description":"CHROMOGENIC SUBSTRATE ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.608,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24940","description":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24940","description":"CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76125","description":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76125","description":"CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76120","description":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","negotiated_rates":[{"provider_references":[210414],"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":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76120","description":"CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC","negotiated_rates":[{"provider_references":[210414],"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":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94772","description":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94772","description":"CIRCADIAN RESPIRATORY PATTERN REC 12-24 HR INFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94772","description":"CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61055","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61055","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61050","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61050","description":"CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70015","description":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70015","description":"CISTERNOGRAPHY POSITIVE CONTRAST RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23120","description":"CLAVICULECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23120","description":"CLAVICULECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23125","description":"CLAVICULECTOMY TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLAVICULECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23125","description":"CLAVICULECTOMY TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLITOROPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56805","description":"CLITOROPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1000.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1000.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1076.0768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1076.0768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":830.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":830.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":897.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":897.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":927.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":927.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":964.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":964.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLITOROPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56805","description":"CLITOROPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1000.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1000.4906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1076.0768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1076.0768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":830.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":830.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":897.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":897.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":927.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":927.8436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":964.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":964.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21750","description":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21750","description":"CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27200","description":"CLOSED TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27200","description":"CLOSED TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21320","description":"CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27768","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27767","description":"CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT SESAMOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28530","description":"CLOSED TREATMENT SESAMOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT STERNUM FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21820","description":"CLOSED TREATMENT STERNUM FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT STERNUM FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21820","description":"CLOSED TREATMENT STERNUM FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25650","description":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25650","description":"CLOSED TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27840","description":"CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27810","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27808","description":"CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28405","description":"CLOSED TX CALCANEAL FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28400","description":"CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25624","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25622","description":"CLOSED TX CARPAL SCAPHOID FRACTURE W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CRANIOFACIAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21431","description":"CLOSED TX CRANIOFACIAL SEPARATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX CRANIOFACIAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21431","description":"CLOSED TX CRANIOFACIAL SEPARATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25675","description":"CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27268","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27268","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27267","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":367.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":367.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":405.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":405.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":448.5407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":448.5407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27267","description":"CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":367.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":367.1761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":405.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":405.6205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":448.5407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":448.5407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27500","description":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27500","description":"CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.236,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.544,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27552","description":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27552","description":"CLOSED TX KNEE DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27550","description":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27550","description":"CLOSED TX KNEE DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25690","description":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25690","description":"CLOSED TX LUNATE DISLOCATION W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21451","description":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21451","description":"CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21450","description":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21450","description":"CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21453","description":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21453","description":"CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28475","description":"CLOSED TX METARSAL FRACTURE W/MANIPULATION EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLOSED TX METATARSAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24620","description":"CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21315","description":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21315","description":"CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21320","description":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21320","description":"CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL FRACTURE W/O STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21315","description":"CLOSED TX NASAL FRACTURE W/O STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21337","description":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21337","description":"CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21345","description":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21345","description":"CLOSED TX NASOMAXILLARY COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21421","description":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21421","description":"CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27562","description":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27562","description":"CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27560","description":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27560","description":"CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27520","description":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27520","description":"CLOSED TX PATELLAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24655","description":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24655","description":"CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24650","description":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24650","description":"CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25505","description":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25505","description":"CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25500","description":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25500","description":"CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25565","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25560","description":"CLOSED TX RADIAL and ULNAR SHAFT FRACTURES W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23570","description":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23570","description":"CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23525","description":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23525","description":"CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28570","description":"CLOSED TX TALOTARSAL JOINT DISLC W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28575","description":"CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28435","description":"CLOSED TX TALUS FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28430","description":"CLOSED TX TALUS FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28605","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28600","description":"CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21485","description":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21485","description":"CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21480","description":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21480","description":"CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24675","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24670","description":"CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25535","description":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25535","description":"CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25530","description":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25530","description":"CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1055.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33600","description":"CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1055.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51880","description":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51880","description":"CLOSURE CYSTOSTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44620","description":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44620","description":"CLOSURE ENTEROSTOMY LG/SMALL INTESTINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51940","description":"CLOSURE EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1030.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE EXSTROPHY BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51940","description":"CLOSURE EXSTROPHY BLADDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1030.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROCOLIC FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43880","description":"CLOSURE GASTROCOLIC FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1006.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROCOLIC FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43880","description":"CLOSURE GASTROCOLIC FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1006.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1006.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43870","description":"CLOSURE GASTROSTOMY SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43870","description":"CLOSURE GASTROSTOMY SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE GASTROSTOMY SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43870","description":"CLOSURE GASTROSTOMY SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE INTESTINAL CUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44640","description":"CLOSURE INTESTINAL CUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":871.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE INTESTINAL CUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44640","description":"CLOSURE INTESTINAL CUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":871.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40831","description":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40831","description":"CLOSURE LACERATION VESTIBULE MOUTH  GT  2.5 CM/CPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40830","description":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40830","description":"CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50520","description":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50520","description":"CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69700","description":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69700","description":"CLOSURE POSTAURICULAR FISTULA MASTOID SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45820","description":"CLOSURE RECTOURETHRAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45820","description":"CLOSURE RECTOURETHRAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45825","description":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":967.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45825","description":"CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":967.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOVESICAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45800","description":"CLOSURE RECTOVESICAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE RECTOVESICAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45800","description":"CLOSURE RECTOVESICAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42600","description":"CLOSURE SALIVARY FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SALIVARY FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42600","description":"CLOSURE SALIVARY FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33602","description":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1025.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33602","description":"CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1025.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50920","description":"CLOSURE URETEROCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50920","description":"CLOSURE URETEROCUTANEOUS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50930","description":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":694.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50930","description":"CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":694.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETHROVAGINAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57310","description":"CLOSURE URETHROVAGINAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE URETHROVAGINAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57310","description":"CLOSURE URETHROVAGINAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOUTERINE FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51920","description":"CLOSURE VESICOUTERINE FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOUTERINE FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51920","description":"CLOSURE VESICOUTERINE FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57320","description":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57320","description":"CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85175","description":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85175","description":"CLOT LYSIS TIME WHOLE BLOOD DILUTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85210","description":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85210","description":"CLOTTING FACTOR II PROTHROMBIN SPECIFIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR IX PTC/CHRISTMAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85250","description":"CLOTTING FACTOR IX PTC/CHRISTMAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR IX PTC/CHRISTMAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85250","description":"CLOTTING FACTOR IX PTC/CHRISTMAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85220","description":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85220","description":"CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85230","description":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85230","description":"CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII AHG 1 STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85240","description":"CLOTTING FACTOR VIII AHG 1 STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII AHG 1 STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85240","description":"CLOTTING FACTOR VIII AHG 1 STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85247","description":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85247","description":"CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII RELATED ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85244","description":"CLOTTING FACTOR VIII RELATED ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII RELATED ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85244","description":"CLOTTING FACTOR VIII RELATED ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85246","description":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85246","description":"CLOTTING FACTOR VIII VW FACTOR ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85245","description":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85245","description":"CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR X STUART-PROWER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85260","description":"CLOTTING FACTOR X STUART-PROWER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR X STUART-PROWER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85260","description":"CLOTTING FACTOR X STUART-PROWER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XI PTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85270","description":"CLOTTING FACTOR XI PTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XI PTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85270","description":"CLOTTING FACTOR XI PTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XII HAGEMAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85280","description":"CLOTTING FACTOR XII HAGEMAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XII HAGEMAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85280","description":"CLOTTING FACTOR XII HAGEMAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRIN STABILIZING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85290","description":"CLOTTING FACTOR XIII FIBRIN STABILIZING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRIN STABILIZING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85290","description":"CLOTTING FACTOR XIII FIBRIN STABILIZING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85291","description":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85291","description":"CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85293","description":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85293","description":"CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85300","description":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85300","description":"CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.584,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85303","description":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85303","description":"CLOTTING INHIBITORS PROTEIN C ACTIVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85302","description":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85302","description":"CLOTTING INHIBITORS PROTEIN C ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85306","description":"CLOTTING INHIBITORS PROTEIN S FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85306","description":"CLOTTING INHIBITORS PROTEIN S FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85305","description":"CLOTTING INHIBITORS PROTEIN S TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITORS PROTEIN S TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85305","description":"CLOTTING INHIBITORS PROTEIN S TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85301","description":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85301","description":"CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85292","description":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85292","description":"CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23545","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23545","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23540","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23540","description":"CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23505","description":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23505","description":"CLSD TX CLAVICULAR FRACTURE W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23500","description":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23500","description":"CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.0,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.179,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24500","description":"CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23655","description":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23655","description":"CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23650","description":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23650","description":"CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23520","description":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23520","description":"CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33681","description":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1133.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33681","description":"CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1133.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33688","description":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33688","description":"CLSR 1 VSD W/WO PATCH W/RMVL P-ART BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46288","description":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46288","description":"CLSR ANAL FSTL W/RCT ADVMNT FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32810","description":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32810","description":"CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44650","description":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":897.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44650","description":"CLSR ENTEROENTERIC/ENTEROCOLIC FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":897.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":897.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44661","description":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":963.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44661","description":"CLSR ENTEROVES FSTL W/INTESTINE and /BLADDER RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":963.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44660","description":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44660","description":"CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43420","description":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43420","description":"CLSR ESOPHAGOSTOMY/FSTL CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43425","description":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":890.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43425","description":"CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":890.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50525","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50525","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50526","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":988.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50526","description":"CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":988.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44625","description":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44625","description":"CLSR NTRSTM LG/SM RESCJ  and  ANAST OTH/THN CLRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44626","description":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":990.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44626","description":"CLSR NTRSTM LG/SM RESCJ  and  COLORECTAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":990.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":990.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57307","description":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57307","description":"CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57308","description":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57308","description":"CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57305","description":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57305","description":"CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57300","description":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57300","description":"CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45805","description":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":923.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45805","description":"CLSR RECTOVESICAL FISTULA W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":923.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":923.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53520","description":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53520","description":"CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57311","description":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57311","description":"CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33688","description":"CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33684","description":"CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51925","description":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51925","description":"CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57330","description":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57330","description":"CLSR VESICOVAG FSTL TRANSVESICAL AND VAG APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51900","description":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51900","description":"CLSR VESICOVAGINAL FISTUL AABDL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33684","description":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33684","description":"CLSR VSD W/WO PATCH W/PULM VLVT/INFUND RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15151","description":"CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1 PCT BODY AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15152","description":"CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1 PCT BODY AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15150","description":"CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27222","description":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27222","description":"CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27220","description":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27220","description":"CLTX ACETABULUM HIP/SOCKT FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27842","description":"CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26742","description":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26742","description":"CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26740","description":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26740","description":"CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MANJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25635","description":"CLTX CARPAL BONE FX W/MANJ EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25635","description":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25635","description":"CLTX CARPAL BONE FX W/MNPJ EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MANJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MANJ EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25630","description":"CLTX CARPAL BONE FX W/O MNPJ EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26641","description":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26641","description":"CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26645","description":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26645","description":"CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26670","description":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26670","description":"CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26675","description":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26675","description":"CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27516","description":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27516","description":"CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27517","description":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27517","description":"CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27788","description":"CLTX DSTL FIBULAR FX LAT MALLS W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27786","description":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27786","description":"CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26755","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26755","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26750","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26750","description":"CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25600","description":"CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25605","description":"CLTX DSTL RDL FX/EPIPHYSL SEP W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26432","description":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26432","description":"CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27510","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27510","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27508","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27508","description":"CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27232","description":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27232","description":"CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27230","description":"CLTX FEM FX PROX END NCK W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM FX PROX END NCK W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27230","description":"CLTX FEM FX PROX END NCK W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27502","description":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27502","description":"CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28495","description":"CLTX FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28490","description":"CLTX FX GRT TOE PHLX/PHLG W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28515","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28510","description":"CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27825","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27825","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27824","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27824","description":"CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23620","description":"CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23625","description":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23625","description":"CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER TROCHANTERIC FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27246","description":"CLTX GREATER TROCHANTERIC FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GREATER TROCHANTERIC FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27246","description":"CLTX GREATER TROCHANTERIC FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23625","description":"CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27252","description":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27252","description":"CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27250","description":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27250","description":"CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24577","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24576","description":"CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24565","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24560","description":"CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24500","description":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24500","description":"CLTX HUMERAL SHAFT FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24505","description":"CLTX HUMERAL SHFT FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27238","description":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27238","description":"CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27538","description":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27538","description":"CLTX INTERCONDYLAR SPI and /TUBRST FX KNE W/WO MAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28665","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28660","description":"CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27240","description":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27240","description":"CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26775","description":"CLTX IPHAL JT DISLC W/MANJ REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26770","description":"CLTX IPHAL JT DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21440","description":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21440","description":"CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27760","description":"CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27762","description":"CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26605","description":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26605","description":"CLTX METACARPAL FX W/MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26607","description":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26607","description":"CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26600","description":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26600","description":"CLTX METACARPAL FX W/O MANIPULATION EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26705","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26705","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26700","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26700","description":"CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28475","description":"CLTX METAR FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28470","description":"CLTX METATARSAL FRACTURE W/O MANIPULATION EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28635","description":"CLTX METATARSOPHLNGL JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28630","description":"CLTX METATARSOPHLNGL JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26725","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26725","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26720","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26720","description":"CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27266","description":"CLTX POST HIP ARTHRP DISLC REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27266","description":"CLTX POST HIP ARTHRP DISLC REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27265","description":"CLTX POST HIP ARTHRP DISLC W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX POST HIP ARTHRP DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27265","description":"CLTX POST HIP ARTHRP DISLC W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27781","description":"CLTX PROX FIBULA/SHFT FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27781","description":"CLTX PROX FIBULA/SHFT FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27780","description":"CLTX PROX FIBULA/SHFT FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX FIBULA/SHFT FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27780","description":"CLTX PROX FIBULA/SHFT FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23605","description":"CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23605","description":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23605","description":"CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27831","description":"CLTX PROX TIBFIB JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27831","description":"CLTX PROX TIBFIB JT DISLC REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27830","description":"CLTX PROX TIBFIB JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROX TIBFIB JT DISLC W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27830","description":"CLTX PROX TIBFIB JT DISLC W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23600","description":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23600","description":"CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25660","description":"CLTX RDCRPL/INTERCARPL DISLC 1 OR GT  BONES W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24640","description":"CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25520","description":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25520","description":"CLTX RDL SHFT FX and CLTX DISLC DSTL RAD/ULN JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23575","description":"CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23575","description":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23575","description":"CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23665","description":"CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23675","description":"CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24535","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/O MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24530","description":"CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27503","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27503","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27501","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27501","description":"CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28545","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28540","description":"CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27530","description":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27530","description":"CLTX TIBIAL FX PROXIMAL W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27532","description":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27532","description":"CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27752","description":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27752","description":"CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27750","description":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27750","description":"CLTX TIBIAL SHAFT FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25680","description":"CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27818","description":"CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27816","description":"CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22310","description":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22310","description":"CLTX VRT BDY FX W/O MANJ REQ and W/CSTING/BRACING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22315","description":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22315","description":"CLTX VRT FX and /DISLC CSTING/BRACING MANJ/TRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74330","description":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74330","description":"CMBN NDSC CATHJ BILIARY AND PNCRTC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57260","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57260","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57265","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57265","description":"CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.43,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81187","description":"CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81187","description":"CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49424","description":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49424","description":"CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36598","description":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36598","description":"CNTRST NJX RAD EVAL CTR VAD FLUOR IMG AND REPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CO DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94729","description":"CO DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85396","description":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85396","description":"COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME ACTIVATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85347","description":"COAGULATION TIME ACTIVATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME ACTIVATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85347","description":"COAGULATION TIME ACTIVATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME LEE AND WHITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85345","description":"COAGULATION TIME LEE AND WHITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME LEE AND WHITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85345","description":"COAGULATION TIME LEE AND WHITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85348","description":"COAGULATION TIME OTHER METHODS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COAGULATION TIME OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85348","description":"COAGULATION TIME OTHER METHODS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9559","description":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9559","description":"COBALT CO-57 CYANOCOBALAMIN ORAL DX UP TO 1 UCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COBALT CO-57/58 CYANOCOBALAMN DX TO 1 MICROCURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9546","description":"COBALT CO-57/58 CYANOCOBALAMN DX TO 1 MICROCURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCCYGECTOMY PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27080","description":"COCCYGECTOMY PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCCYGECTOMY PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27080","description":"COCCYGECTOMY PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69930","description":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":774.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69930","description":"COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":774.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82542","description":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82542","description":"COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44151","description":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1343.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44151","description":"COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1343.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1343.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44150","description":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44150","description":"COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86156","description":"COLD AGGLUTININ SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86156","description":"COLD AGGLUTININ SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86157","description":"COLD AGGLUTININ TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLD AGGLUTININ TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86157","description":"COLD AGGLUTININ TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44140","description":"COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44140","description":"COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44147","description":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1206.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44147","description":"COLECTOMY PRTL ABDOMINAL  AND  TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1206.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44145","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1030.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44145","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1030.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1030.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44146","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1311.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1311.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44146","description":"COLECTOMY PRTL W/COLOPROCTOSTOMY  and  COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1311.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1311.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44144","description":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1101.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44144","description":"COLECTOMY PRTL W/COLOST/ILEOST  and  MUCOFISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1101.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1101.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44143","description":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1031.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44143","description":"COLECTOMY PRTL W/END COLOSTOMY  and  CLSR DSTL SGMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1031.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1031.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44160","description":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":779.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44160","description":"COLECTOMY PRTL W/RMVL TERMINAL ILEUM  and  ILEOCOLOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":779.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44141","description":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1132.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44141","description":"COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1132.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44156","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1435.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44156","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1435.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44155","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1293.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1293.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44155","description":"COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1293.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1293.864,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6022","description":"COLL DRSG STERL PAD SIZE GT 16 SQ IN BUT/ Equal to 48 SQ E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6010","description":"COLLAGEN BASED WOUND FILLER DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN CROSS LINKS ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82523","description":"COLLAGEN CROSS LINKS ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN CROSS LINKS ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82523","description":"COLLAGEN CROSS LINKS ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6023","description":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6023","description":"COLLAGEN DRESSING STERILE SIZE  GT 48 SQ IN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6021","description":"COLLAGEN DRESSING STERILE SIZE 16 SQ IN/LESS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6024","description":"COLLAGEN DRESSING WOUND FILLER STERILE PER 6 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLAGEN SKIN TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3031","description":"COLLAGEN SKIN TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM CATHETER VENOUS NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36592","description":"COLLECT BLOOD FROM CATHETER VENOUS NOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM CATHETER VENOUS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36592","description":"COLLECT BLOOD FROM CATHETER VENOUS NOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36591","description":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36591","description":"COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION CAPILLARY BLOOD SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36416","description":"COLLECTION CAPILLARY BLOOD SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLLECTION CAPILLARY BLOOD SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36416","description":"COLLECTION CAPILLARY BLOOD SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.997,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91117","description":"COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45378","description":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45378","description":"COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45379","description":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45379","description":"COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44391","description":"COLONOSCOPY STOMA CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44391","description":"COLONOSCOPY STOMA CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44388","description":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44388","description":"COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44392","description":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44392","description":"COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44389","description":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44389","description":"COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44390","description":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44390","description":"COLONOSCOPY STOMA W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44394","description":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44394","description":"COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45380","description":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45380","description":"COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKIN LEVEL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44320","description":"COLOSTOMY/SKIN LEVEL CECOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":755.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKIN LEVEL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44320","description":"COLOSTOMY/SKIN LEVEL CECOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":755.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":755.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44322","description":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44322","description":"COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44025","description":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44025","description":"COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCENTESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57020","description":"COLPOCENTESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCENTESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57020","description":"COLPOCENTESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCLEISIS LE FORT TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57120","description":"COLPOCLEISIS LE FORT TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOCLEISIS LE FORT TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57120","description":"COLPOCLEISIS LE FORT TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57210","description":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57210","description":"COLPOPERINEORRHAPHY SUTURE INJ VAGINA and /PERINEU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57280","description":"COLPOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57280","description":"COLPOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57282","description":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57282","description":"COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57283","description":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57283","description":"COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPORRHAPHY SUTURE INJURY VAGINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57200","description":"COLPORRHAPHY SUTURE INJURY VAGINA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPORRHAPHY SUTURE INJURY VAGINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57200","description":"COLPORRHAPHY SUTURE INJURY VAGINA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57454","description":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57454","description":"COLPOSCOPY CERVIX BX CERVIX  AND  ENDOCRV CURRETAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57456","description":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57456","description":"COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57452","description":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57452","description":"COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57455","description":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57455","description":"COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57461","description":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57461","description":"COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57460","description":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57460","description":"COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57420","description":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57420","description":"COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57421","description":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57421","description":"COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56820","description":"COLPOSCOPY VULVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56820","description":"COLPOSCOPY VULVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56821","description":"COLPOSCOPY VULVA W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOSCOPY VULVA W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56821","description":"COLPOSCOPY VULVA W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57010","description":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57010","description":"COLPOTOMY W/DRAINAGE PELVIC ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57000","description":"COLPOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLPOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57000","description":"COLPOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45382","description":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45382","description":"COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45386","description":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45386","description":"COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45391","description":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45391","description":"COLSC FLX W/NDSC US XM RCTM ET AL LMTD and ADJ STRUX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45384","description":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45384","description":"COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45385","description":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45385","description":"COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45392","description":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45392","description":"COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45381","description":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45381","description":"COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1690","description":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1917.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1917.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1690","description":"COMB BIL LUMBO-SAC HIP FEM ORTHOS PRFB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1917.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1917.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7027","description":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7027","description":"COMB ORAL/NASAL MASK USED W/CPAP DEVICE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0637","description":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3025.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3025.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0637","description":"COMB SIT STAND FRAME/TABLE SYS SEATLIFT FEATURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3025.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3025.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80418","description":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80418","description":"COMBINED RAPID ANT PITUITARY EVALUATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92018","description":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92018","description":"COMPL OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33694","description":"COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR T-FALLOT W/PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33697","description":"COMPL RPR T-FALLOT W/PULM ATRESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1250.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33692","description":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1186.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33692","description":"COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1186.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1186.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33694","description":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33694","description":"COMPL RPR TOF W/O PULM ATRESIA W/TANULR PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT ANTIGEN EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86160","description":"COMPLEMENT ANTIGEN EACH COMPONENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT ANTIGEN EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86160","description":"COMPLEMENT ANTIGEN EACH COMPONENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86171","description":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86171","description":"COMPLEMENT FIXATION TESTS EACH ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86161","description":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86161","description":"COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT TOTAL HEMOLYTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86162","description":"COMPLEMENT TOTAL HEMOLYTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEMENT TOTAL HEMOLYTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86162","description":"COMPLEMENT TOTAL HEMOLYTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1250.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33697","description":"COMPLETE REPAIR TOF W/PULMONARY ATRESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1250.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPLACEMENT PICC RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36584","description":"COMPLETE REPLACEMENT PICC RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE REPLACEMENT PICC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36584","description":"COMPLETE REPLACEMENT PICC RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33730","description":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1225.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1225.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33730","description":"COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1225.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1225.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93303","description":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93303","description":"COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51727","description":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51727","description":"COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51728","description":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51728","description":"COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51741","description":"COMPLEX UROFLOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLEX UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51741","description":"COMPLEX UROFLOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51729","description":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51729","description":"COMPLX CYSTOMETRO W/VOID PRESS  and  URETHRAL PROFIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61697","description":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2632.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2632.96,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61697","description":"COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2632.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2632.96,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6204","description":"COMPOS DRESS  GT 16SQ BUT  LT or equal to 48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPOS DRESS STERL PAD  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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"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":"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":[210414],"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":"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":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92557","description":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92557","description":"COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96001","description":"COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93621","description":"COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93622","description":"COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93620","description":"COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93619","description":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93619","description":"COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93620","description":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93620","description":"COMPRE EP EVAL R ATR VNTRC PACG and REC HIS BNDL REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93621","description":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93621","description":"COMPRE EP EVAL W/L ATRIAL PACG and REC C SINS/L ATR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93622","description":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93622","description":"COMPRE EP EVAL W/LEFT VENTRICULAR PACING/REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPREHENSIVE METABOLIC PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80053","description":"COMPREHENSIVE METABOLIC PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.295,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.295,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0565","description":"COMPRS AIR PWR EQP NOT SLF-CONTAIND/CYL DRIVN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6511","description":"COMPRS BRN GARMNT LW TRNK W/LEG OPENING CSTM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6510","description":"COMPRS BRN GARMNT TRNK ARMS TO LEG OPENING CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6509","description":"COMPRS BRN GARMNT UP TRNK WAIST ARM OPENING CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BRN MASK FCE  and  OR NCK PLSTC/EQUL CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6513","description":"COMPRS BRN MASK FCE  and  OR NCK PLSTC/EQUL CSTM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6501","description":"COMPRS BURN GARMENT BODYSUIT CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6502","description":"COMPRS BURN GARMENT CHIN STRAP CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6503","description":"COMPRS BURN GARMENT FACIAL HOOD CUSTOM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6507","description":"COMPRS BURN GARMENT FT KNEE LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6508","description":"COMPRS BURN GARMENT FT THIGH LENGTH CUSTOM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6506","description":"COMPRS BURN GARMENT GLOVE AXILLA CUSTOM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6505","description":"COMPRS BURN GARMENT GLOVE ELB CUSTOM FABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6504","description":"COMPRS BURN GARMENT GLOVE WRIST CUSTOM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71271","description":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71271","description":"COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONCENTRATION INFECTIOUS AGENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87015","description":"CONCENTRATION INFECTIOUS AGENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONCENTRATION INFECTIOUS AGENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87015","description":"CONCENTRATION INFECTIOUS AGENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDITIONING PLAY AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92582","description":"CONDITIONING PLAY AUDIOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDITIONING PLAY AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92582","description":"CONDITIONING PLAY AUDIOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4558","description":"CONDUCTIVE GEL/PASTE FOR USE W/ELECTRICAL DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21050","description":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21050","description":"CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONFORMITY EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5020","description":"CONFORMITY EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57522","description":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57522","description":"CONIZATION CERVIX W/WO D and C RPR ELTRD EXC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57520","description":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57520","description":"CONIZATION CERVIX W/WO D and C RPR KNIFE/LASER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ AND REPRT MATERIAL REQUIRING PREPJ SLIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88323","description":"CONSLTJ AND REPRT MATERIAL REQUIRING PREPJ SLIDES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ AND REPRT SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88321","description":"CONSLTJ AND REPRT SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88325","description":"CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88325","description":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88325","description":"CONSLTJ COMPRE RVW RECORD REPRT REFERRED MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88323","description":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88323","description":"CONSLTJ and REPRT REFERRED MATRL REQUIRING PREPJ SLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88321","description":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88321","description":"CONSLTJ and REPRT REFERRED SLIDES PREPARED ELSEWHERE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31611","description":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31611","description":"CONSTJ TRACHEOESOPHAGEAL FSTL and INSJ SP PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTJ TRACHEOESOPHGL FSTL AND INSJ SP PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31611","description":"CONSTJ TRACHEOESOPHGL FSTL AND INSJ SP PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION APICAL-AORTIC CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33404","description":"CONSTRUCTION APICAL-AORTIC CONDUIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1068.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION APICAL-AORTIC CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33404","description":"CONSTRUCTION APICAL-AORTIC CONDUIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1068.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57292","description":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57292","description":"CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57291","description":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57291","description":"CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95250","description":"CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0936","description":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0936","description":"CONT PASSIVE MOTION EXERCISE DEVC OTH THAN KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5083","description":"CONTINENT DEVICE STOMA ABSORPTIVE COVER STOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5082","description":"CONTINENT DEVICE; CATHETER FOR CONTINENT STOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50825","description":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1035.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50825","description":"CONTINENT DVRJ W/INT ANAST ANY SGM SM and /LG INTSTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1035.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44316","description":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":887.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44316","description":"CONTINENT ILEOSTOMY KOCK PROCEDURE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":887.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77336","description":"CONTINUING MEDICAL PHYSICS CONSLTJ PR WK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95251","description":"CONTINUOUS GLUCOSE MONITORING ANALYSIS I AND R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0935","description":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0935","description":"CONTINUOUS PASSIVE MOT EXERCISE DEVC KNEE ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1134.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0601","description":"CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1134.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1134.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7304","description":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7304","description":"CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.339,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49465","description":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49465","description":"CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30903","description":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30903","description":"CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30901","description":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30901","description":"CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42960","description":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42960","description":"CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27132","description":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1065.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27132","description":"CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1065.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49446","description":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49446","description":"CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23415","description":"CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORDOCENTESIS INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59012","description":"CORDOCENTESIS INTRAUTERINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORDOCENTESIS INTRAUTERINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59012","description":"CORDOCENTESIS INTRAUTERINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33517","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33517","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 1 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33518","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33518","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 2 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33519","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33519","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 3 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33521","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33521","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 4 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33522","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33522","description":"CORONARY ARTERY BYP W/VEIN  and  ARTERY GRAFT 5 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33523","description":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33523","description":"CORONARY ARTERY BYP W/VEIN  and ARTERY GRAFT 6 VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33510","description":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1180.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33510","description":"CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1180.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1180.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33511","description":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1296.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1296.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33511","description":"CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1296.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1296.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33512","description":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1474.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1474.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33512","description":"CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1474.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1474.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33513","description":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1506.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33513","description":"CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1506.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1506.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33514","description":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1585.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1585.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33514","description":"CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1585.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1585.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33516","description":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1640.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1640.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33516","description":"CORONARY ARTERY BYPASS 6/ Plus  CORONARY VENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1640.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1640.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ENDARTERCOMY OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33572","description":"CORONARY ENDARTERCOMY OPEN ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONARY ENDARTERCOMY OPEN ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33572","description":"CORONARY ENDARTERCOMY OPEN ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21070","description":"CORONOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORONOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21070","description":"CORONOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74445","description":"CORPORA CAVERNOSOGRAPY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORPORA CAVERNOSOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74445","description":"CORPORA CAVERNOSOGRAPY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION CLAW FINGER OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26499","description":"CORRECTION CLAW FINGER OTHER METHODS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION CLAW FINGER OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26499","description":"CORRECTION CLAW FINGER OTHER METHODS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28286","description":"CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION HAMMERTOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28285","description":"CORRECTION HAMMERTOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":348.7054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":348.7054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.1641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.1641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION INVERTED NIPPLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19355","description":"CORRECTION INVERTED NIPPLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":523.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":523.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":618.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":618.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":684.3176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":684.3176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":759.7369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":759.7369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":764.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":764.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":849.0843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":849.0843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":949.8882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":949.8882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRECTION INVERTED NIPPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19355","description":"CORRECTION INVERTED NIPPLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":523.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":523.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":618.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":618.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":684.3176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":684.3176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":759.7369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":759.7369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":764.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":764.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":849.0843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":849.0843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":949.8882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":949.8882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28292","description":"CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":459.3626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":459.3626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":511.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":511.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":523.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":523.4923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":571.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":571.4894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.5432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.0797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.0797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":719.4888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":719.4888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":805.5629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":805.5629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28299","description":"CORRJ HLX VLGS BNCTY SESMDC W/DOUBLE OSTEOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1068.5282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1068.5282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1203.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1203.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":646.4076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":646.4076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":720.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":720.8248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":741.2662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":741.2662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":811.4749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":811.4749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":825.0022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":825.0022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":928.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":928.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":961.7121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":961.7121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44055","description":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":933.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44055","description":"CORRJ MALROTATION BANDS and /RDCTJ VOLVULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":933.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":933.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82528","description":"CORTICOSTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82528","description":"CORTICOSTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80412","description":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":705.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80412","description":"CORTICOTROPIC RELEASING HORM STIMJ PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":705.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82530","description":"CORTISOL FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82530","description":"CORTISOL FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82533","description":"CORTISOL TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORTISOL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82533","description":"CORTISOL TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.344,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7010","description":"CORUGATD TUBING DISPBL W/LG VOL NEBULIZR 100 FT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21610","description":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21610","description":"COSTOTRANSVERSECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63064","description":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1115.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63064","description":"COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1115.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63066","description":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63066","description":"COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0482","description":"COUGH STIM DEVICE ALTRNAT POS AND NEG ARWAY PRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"COUPLING GEL/PASTE USE W/US DEVICE PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4559","description":"COUPLING GEL/PASTE USE W/US DEVICE PER OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPAP VENTILATION CPAP INITIATION AND MGMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPAP VENTILATION CPAP INITIATION AND MGMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94660","description":"CPAP VENTILATION CPAP INITIATION AND MGMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70371","description":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70371","description":"CPLX DYNAMIC PHARYNGEAL and SP EVAL C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61698","description":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2882.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2882.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61698","description":"CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2882.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2882.759,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61582","description":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1935.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1935.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61582","description":"CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1935.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1935.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61583","description":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1852.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1852.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61583","description":"CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1852.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1852.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61556","description":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61556","description":"CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61510","description":"CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1394.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61552","description":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":946.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61552","description":"CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":946.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61323","description":"CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1490.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61322","description":"CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1500.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1500.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61550","description":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61550","description":"CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61557","description":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1072.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61557","description":"CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1072.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY FOR OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61501","description":"CRANIECTOMY FOR OSTEOMYELITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY FOR OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61501","description":"CRANIECTOMY FOR OSTEOMYELITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61314","description":"CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1155.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61312","description":"CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61313","description":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1255.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61315","description":"CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY OSTEOMYELITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61501","description":"CRANIECTOMY OSTEOMYELITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1328.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1328.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61460","description":"CRANIECTOMY SUBOCCIPITAL SECTION 1 OR GT  CRANIAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1328.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1328.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/LESION SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/LESION SKULL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61500","description":"CRANIECTOMY W/EXCISION TUMOR/OTH BONE LESION SKL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61321","description":"CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61320","description":"CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1196.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61570","description":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1183.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61570","description":"CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1183.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61305","description":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1266.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61305","description":"CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1266.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61304","description":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61304","description":"CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61571","description":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1258.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61571","description":"CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1258.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1258.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0112","description":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1387.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0112","description":"CRANIL CERV ORTHOS CONGN TORTICOLLIS TYPE CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1387.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61580","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1583.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1583.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61580","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1583.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1583.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61581","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1724.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1724.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61581","description":"CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1724.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1724.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62141","description":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":729.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62141","description":"CRANIOPLASTY SKULL DEFECT  GT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":729.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62140","description":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62140","description":"CRANIOPLASTY SKULL DEFECT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62145","description":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":888.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62145","description":"CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":888.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62147","description":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62147","description":"CRANIOPLASTY W/AUTOGRAFT  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62146","description":"CRANIOPLASTY W/AUTOGRAFT  LT 5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61534","description":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1047.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61534","description":"CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1047.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61536","description":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1619.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1619.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61536","description":"CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1619.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1619.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61546","description":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1453.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1453.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61546","description":"CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1453.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1453.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61538","description":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1666.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1666.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61538","description":"CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1666.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1666.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61539","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1485.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61539","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1485.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1485.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61540","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1371.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1371.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61540","description":"CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1371.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1371.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61535","description":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61535","description":"CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61533","description":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":968.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61533","description":"CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":968.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61537","description":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1540.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61537","description":"CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1540.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61545","description":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2002.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2002.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61545","description":"CRANIOTOMY EXCISION CRANIOPHARYNGIOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2002.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2002.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61544","description":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1197.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61544","description":"CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1197.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1197.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62121","description":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":984.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62121","description":"CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":984.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61567","description":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1606.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61567","description":"CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1606.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1606.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61543","description":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1370.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61543","description":"CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1370.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1370.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61566","description":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1410.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61566","description":"CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1410.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1410.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61541","description":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1356.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61541","description":"CRANIOTOMY TRANSECTION CORPUS CALLOSUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1356.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1356.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61791","description":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61791","description":"CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61790","description":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61790","description":"CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82552","description":"CREATINE KINASE ISOENZYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOENZYMES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82552","description":"CREATINE KINASE ISOENZYMES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOFORMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82554","description":"CREATINE KINASE ISOFORMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE ISOFORMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82554","description":"CREATINE KINASE ISOFORMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE MB FRACTION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82553","description":"CREATINE KINASE MB FRACTION ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE MB FRACTION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82553","description":"CREATINE KINASE MB FRACTION ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82550","description":"CREATINE KINASE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATINE KINASE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82550","description":"CREATINE KINASE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.731,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.731,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82565","description":"CREATININE BLOOD","negotiated_rates":[{"provider_references":[210414],"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":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82565","description":"CREATININE BLOOD","negotiated_rates":[{"provider_references":[210414],"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":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE CLEARANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82575","description":"CREATININE CLEARANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE CLEARANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82575","description":"CREATININE CLEARANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82570","description":"CREATININE OTHER SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATININE OTHER SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82570","description":"CREATININE OTHER SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63600","description":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63600","description":"CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOPHARYNGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43030","description":"CRICOPHARYNGEAL MYOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRICOPHARYNGEAL MYOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43030","description":"CRICOPHARYNGEAL MYOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99292","description":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99292","description":"CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99291","description":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99291","description":"CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99466","description":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":216.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":216.3376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99466","description":"CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.7333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.3467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":216.3376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":216.3376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99467","description":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99467","description":"CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61518","description":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1744.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61518","description":"CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1744.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1744.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61530","description":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1923.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1923.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61530","description":"CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1923.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1923.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61519","description":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1848.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1848.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61519","description":"CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1848.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1848.781,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61524","description":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1315.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61524","description":"CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1315.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1315.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61522","description":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61522","description":"CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1379.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPL/DCMPRN CRNL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61458","description":"CRNEC SOPL EXPL/DCMPRN CRNL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1273.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61458","description":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1273.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61458","description":"CRNEC SOPL EXPLORATION/DECOMPRESSION CRANIAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1273.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61450","description":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1210.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61450","description":"CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1210.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61343","description":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1380.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61343","description":"CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA  AND  CORD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1380.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61526","description":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2096.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2096.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61526","description":"CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2096.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2096.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61514","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1212.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61514","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN ABSC STTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1212.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61510","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1394.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61510","description":"CRNEC TREPH BONE FLAP CRNOT EXC BRAIN TUMOR STTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1394.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1394.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61512","description":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61512","description":"CRNEC TREPH BONE FLAP CRNOT EXC MENINGIOMA STTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61516","description":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61516","description":"CRNEC TREPH BONE FLAP CRNOT EXC/FENEST CYST STTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61514","description":"CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1212.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1212.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61516","description":"CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61512","description":"CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1605.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61521","description":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1984.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61521","description":"CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1984.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61520","description":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2335.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2335.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61520","description":"CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2335.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2335.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61322","description":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1500.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1500.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61322","description":"CRNEC/CRNOT DCMPRV W/WO DURAPLASTY W/O LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1500.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1500.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61321","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61321","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC INFRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61320","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1196.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61320","description":"CRNEC/CRNOT DRG INTRACRANIAL ABSC SUPRATENTORIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1196.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1196.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61315","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61315","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL INTRACEREBELLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61314","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1155.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61314","description":"CRNEC/CRNOT HMTMA INFRATENTORIAL XDRL/SDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1155.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1155.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61313","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1255.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61313","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL INTRACEREBRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1255.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61312","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61312","description":"CRNEC/CRNOT HMTMA SUPRATENTORIAL XDRL/SUBDURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61323","description":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1490.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61323","description":"CRNEC/CRNOT W/WO DURAPLASTY WITH LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1490.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61860","description":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":988.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61860","description":"CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":988.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":988.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROSS INTRINSIC TRANSFER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26510","description":"CROSS INTRINSIC TRANSFER EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROSS INTRINSIC TRANSFER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26510","description":"CROSS INTRINSIC TRANSFER EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34520","description":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34520","description":"CROSS-OVER VEIN GRAFT VENOUS SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0111","description":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0111","description":"CRTCH FORARM VARIOUS MATL EA W/TIP and HNDGRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0116","description":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0116","description":"CRTCH UNDARM NOT WOOD ADJUST/FIX PAD TIP HNDGRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0113","description":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0113","description":"CRTCH UNDARM WOOD EA ADJSTBL/FIX PAD TIP and HNDGRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.494,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0112","description":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0112","description":"CRTCHES UNDARM WOOD PAIR W/PADS TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0110","description":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0110","description":"CRTCHS FORARM VARIOUS MATL PAIR W/TIPS and HNDGRIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0114","description":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0114","description":"CRTCHS UNDARM OTH THAN WOOD PAIR PAD TIP AND HNDGRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36825","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36825","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36830","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36830","description":"CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35686","description":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35686","description":"CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61720","description":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":809.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61720","description":"CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":809.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61735","description":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1012.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61735","description":"CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1012.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33025","description":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33025","description":"CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63741","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63741","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63740","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63740","description":"CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62190","description":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62190","description":"CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62192","description":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62192","description":"CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62220","description":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62220","description":"CRTJ SHUNT VENTRICULO-ATR-JUG-AUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62223","description":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62223","description":"CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0157","description":"CRUTCH ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0157","description":"CRUTCH ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0118","description":"CRUTCH SUBST LOWER LEG PLATFORM W/WO WHEELS EA","negotiated_rates":[{"provider_references":[210414],"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":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0117","description":"CRUTCH UNDERARM ARTICULATING SPRING ASSISTED EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.01,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.01,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62100","description":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":994.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62100","description":"CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":994.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82595","description":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82595","description":"CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17340","description":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17340","description":"CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89060","description":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89060","description":"CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51595","description":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1369.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51595","description":"CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1369.115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.115,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51596","description":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1478.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1478.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51596","description":"CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1478.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1478.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51590","description":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1210.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51590","description":"CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1210.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1210.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51565","description":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51565","description":"CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82615","description":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82615","description":"CSTINE AND HOMOCSTINE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2617","description":"CSTM FAB WC BACK CUSHN ANY SZ ANY MOUNT HARDWARE","negotiated_rates":[{"provider_references":[210414],"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":"CSTO W/TRURL RESCJ/INC EJACULATORY DUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52402","description":"CSTO W/TRURL RESCJ/INC EJACULATORY DUXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTOPLASTY/CSTOURTP PLSTC ANY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51800","description":"CSTOPLASTY/CSTOURTP PLSTC ANY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTOPLASTY/CSTOURTP PLSTC ANY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51800","description":"CSTOPLASTY/CSTOURTP PLSTC ANY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTOURTP W/UNI/BI URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51820","description":"CSTOURTP W/UNI/BI URTRONEOCSTOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTOURTP W/UNI/BI URTRONEOCSTOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51820","description":"CSTOURTP W/UNI/BI URTRONEOCSTOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74178","description":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74178","description":"CT ABD and PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74177","description":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":211.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":211.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.8974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.8974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74177","description":"CT ABDOMEN  and  PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":211.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":211.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.8974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.8974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.9036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":313.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":313.8683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.0222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74176","description":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74176","description":"CT ABDOMEN  and  PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN  and  PELVIS W/O CONTRST 1 OR GT  BODY RE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74178","description":"CT ABDOMEN  and  PELVIS W/O CONTRST 1 OR GT  BODY RE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74160","description":"CT ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74160","description":"CT ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74170","description":"CT ABDOMEN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74170","description":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74170","description":"CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74150","description":"CT ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74150","description":"CT ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIO ABD and PLVIS CNTRST MTRL W/WO CNTRST IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74174","description":"CT ANGIO ABD and PLVIS CNTRST MTRL W/WO CNTRST IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74175","description":"CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71275","description":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71275","description":"CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70496","description":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70496","description":"CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73706","description":"CT ANGIOGRAPHY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73706","description":"CT ANGIOGRAPHY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70498","description":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70498","description":"CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72191","description":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72191","description":"CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73206","description":"CT ANGIOGRAPHY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ANGIOGRAPHY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73206","description":"CT ANGIOGRAPHY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77078","description":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77078","description":"CT BONE MINERL DENSITY STUDY 1 OR GT  SITS AXIAL SKE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72126","description":"CT CERVICAL SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72126","description":"CT CERVICAL SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72127","description":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72127","description":"CT CERVICAL SPINE W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72125","description":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72125","description":"CT CERVICAL SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.966,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":343.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":343.3613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":384.2106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":384.2106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77013","description":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77013","description":"CT GUIDANCE  AND MONITORING VISC TISS ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":630.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":630.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77012","description":"CT GUIDANCE NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE NEEDLE PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77012","description":"CT GUIDANCE NEEDLE PLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE STEREOTACTIC LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77011","description":"CT GUIDANCE STEREOTACTIC LOCALIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT GUIDANCE STEREOTACTIC LOCALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77011","description":"CT GUIDANCE STEREOTACTIC LOCALIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70460","description":"CT HEAD/BRAIN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70460","description":"CT HEAD/BRAIN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70470","description":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70470","description":"CT HEAD/BRAIN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70450","description":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70450","description":"CT HEAD/BRAIN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75573","description":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75573","description":"CT HEART C Plus  CARDIAC STRUX and MORPH CGEN HRT DS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75572","description":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75572","description":"CT HEART CONTRAST EVAL CARDIAC STRUCTURE AND MORPH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.486,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.743,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.486,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT HRT CONTRST CARDIAC STRUCT AND MORPH CONG HRT D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75573","description":"CT HRT CONTRST CARDIAC STRUCT AND MORPH CONG HRT D","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76380","description":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76380","description":"CT LIMITED/LOCALIZED FOLLOW UP STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73701","description":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73701","description":"CT LOWER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73702","description":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73702","description":"CT LOWER EXTREMITY W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73700","description":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73700","description":"CT LOWER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72132","description":"CT LUMBAR SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72132","description":"CT LUMBAR SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72133","description":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72133","description":"CT LUMBAR SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72131","description":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72131","description":"CT LUMBAR SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70487","description":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70487","description":"CT MAXILLOFACIAL W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70488","description":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70488","description":"CT MAXILLOFACIAL W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70486","description":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70486","description":"CT MAXILLOFACIAL W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70481","description":"CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70482","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70482","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70480","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70480","description":"CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72193","description":"CT PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72193","description":"CT PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72194","description":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72194","description":"CT PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72192","description":"CT PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72192","description":"CT PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70491","description":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70491","description":"CT SOFT TISSUE NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70492","description":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70492","description":"CT SOFT TISSUE NECK W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70490","description":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70490","description":"CT SOFT TISSUE NECK W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72129","description":"CT THORACIC SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72129","description":"CT THORACIC SPINE W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72130","description":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72130","description":"CT THORACIC SPINE W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72128","description":"CT THORACIC SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORACIC SPINE W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72128","description":"CT THORACIC SPINE W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71260","description":"CT THORAX W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71270","description":"CT THORAX W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT THORAX W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71250","description":"CT THORAX W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73201","description":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73201","description":"CT UPPER EXTREMITY W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73202","description":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73202","description":"CT UPPER EXTREMITY W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73200","description":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73200","description":"CT UPPER EXTREMITY W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74174","description":"CTA ABD and PLVS W/CNTRST  and  IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75635","description":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75635","description":"CTA ABDL AORTA and BI ILIOFEM W/CONTRAST and POSTP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74175","description":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74175","description":"CTA ABDOMEN W/CONTRAST and IMG POSTPROCESSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75574","description":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75574","description":"CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0710","description":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2169.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0710","description":"CTLSO ANT-POST-LAT CNTRL MOLD PT-INTRFCE MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2169.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2169.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0700","description":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1920.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1920.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0700","description":"CTLSO ANT-POSTERIOR-LAT CONTROL MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1920.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1920.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO ANTERIOR POSTERIOR LAT CNTRL PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0720","description":"CTLSO ANTERIOR POSTERIOR LAT CNTRL PREFAB ITEM","negotiated_rates":[{"provider_references":[210414],"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":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1000","description":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2310.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2310.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1000","description":"CTLSO INCLUSIVE FURNISHING INIT ORTHOS INCL MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2310.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2310.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95929","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95929","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95928","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95928","description":"CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95939","description":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95939","description":"CTR MOTR EP STD TRANSCRNL MOTR STIM UPR AND LOW LI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42972","description":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42972","description":"CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42971","description":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42971","description":"CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42970","description":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42970","description":"CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30905","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30905","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30906","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30906","description":"CTRL NSL HEMRRG PST NASAL PACKS and /CAUTERY SUBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42961","description":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42961","description":"CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42962","description":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42962","description":"CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87077","description":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87077","description":"CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87076","description":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87076","description":"CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87071","description":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87071","description":"CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87073","description":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87073","description":"CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87046","description":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87046","description":"CUL BACT STOOL AEROBIC ADDL PATHOGENS AND ID EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87045","description":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87045","description":"CUL BACT STOOL AEROBIC ISOL SALMONELLA AND SHIGELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87070","description":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87070","description":"CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87101","description":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87101","description":"CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87081","description":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","negotiated_rates":[{"provider_references":[210414],"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":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87081","description":"CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ","negotiated_rates":[{"provider_references":[210414],"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":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87084","description":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87084","description":"CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87075","description":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87075","description":"CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO AND ID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87040","description":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87040","description":"CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87086","description":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87086","description":"CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87088","description":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87088","description":"CULTURE BCT ISOL AND PRSMPTV ID ISOLATE EA URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.117,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE CHLAMYDIA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87110","description":"CULTURE CHLAMYDIA ANY SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE CHLAMYDIA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87110","description":"CULTURE CHLAMYDIA ANY SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87103","description":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87103","description":"CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.007,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87102","description":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87102","description":"CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87107","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87107","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87106","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87106","description":"CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87118","description":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87118","description":"CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOPLASMA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87109","description":"CULTURE MYCOPLASMA ANY SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE MYCOPLASMA ANY SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87109","description":"CULTURE MYCOPLASMA ANY SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87116","description":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87116","description":"CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87143","description":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87143","description":"CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.022,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87152","description":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87152","description":"CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87140","description":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87140","description":"CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87147","description":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87147","description":"CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87149","description":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87149","description":"CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87158","description":"CULTURE TYPING OTHER METHODS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CULTURE TYPING OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87158","description":"CULTURE TYPING OTHER METHODS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.809,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.809,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURETTAGE POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59160","description":"CURETTAGE POSTPARTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURETTAGE POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59160","description":"CURETTAGE POSTPARTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46940","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46940","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46942","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46942","description":"CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7032","description":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7032","description":"CUSHN NASAL MASK INTERFACE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.151,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.151,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2609","description":"CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION SIZE","negotiated_rates":[{"provider_references":[210414],"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":"CUTANANEOUS APPENDICO-VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50845","description":"CUTANANEOUS APPENDICO-VESICOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUTANANEOUS APPENDICO-VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50845","description":"CUTANANEOUS APPENDICO-VESICOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUTANEOUS VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51980","description":"CUTANEOUS VESICOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CUTANEOUS VESICOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51980","description":"CUTANEOUS VESICOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93015","description":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93015","description":"CV STRESS TST XERS and /RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93018","description":"CV STRS TST XERS and /OR RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG TRCG ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93017","description":"CV STRS TST XERS and /OR RX CONT ECG TRCG ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93016","description":"CV STRS TST XERS and /OR RX CONT ECG W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /OR RX CONT ECG W/SI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93015","description":"CV STRS TST XERS and /OR RX CONT ECG W/SI and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93018","description":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93018","description":"CV STRS TST XERS and /RX CONT ECG I and R ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93016","description":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93016","description":"CV STRS TST XERS and /RX CONT ECG SUPVJ ONLY W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93017","description":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93017","description":"CV STRS TST XERS and /RX CONT ECG TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82608","description":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82608","description":"CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VITAMIN B-12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82607","description":"CYANOCOBALAMIN VITAMIN B-12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYANOCOBALAMIN VITAMIN B-12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82607","description":"CYANOCOBALAMIN VITAMIN B-12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86200","description":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86200","description":"CYCLIC CITRULLINATED PEPTIDE ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8530","description":"CYCLOPHOSPHAMIDE ORAL 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOPHOSPHAMIDE ORAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8530","description":"CYCLOPHOSPHAMIDE ORAL 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7502","description":"CYCLOSPORINE ORAL 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYCLOSPORINE ORAL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7502","description":"CYCLOSPORINE ORAL 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTATIN C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82610","description":"CYSTATIN C","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTATIN C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82610","description":"CYSTATIN C","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51570","description":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51570","description":"CYSTECTOMY COMPLETE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51555","description":"CYSTECTOMY PARTIAL COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51555","description":"CYSTECTOMY PARTIAL COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51550","description":"CYSTECTOMY PARTIAL SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":608.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY PARTIAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51550","description":"CYSTECTOMY PARTIAL SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":608.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51575","description":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51575","description":"CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51585","description":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1323.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51585","description":"CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1323.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1323.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51580","description":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1190.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51580","description":"CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1190.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1190.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO BLADDER W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52005","description":"CYSTO BLADDER W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52281","description":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52281","description":"CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FRAGMENTATION URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52325","description":"CYSTO FRAGMENTATION URETERAL STONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO FRAGMENTATION URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52325","description":"CYSTO FRAGMENTATION URETERAL STONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52400","description":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52400","description":"CYSTO INC FULG/RESCJ CGEN URTL VALVES/MCSL FOLDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC FULG/RESCJ URTL VALVES/FOLDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52400","description":"CYSTO INC FULG/RESCJ URTL VALVES/FOLDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52305","description":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52305","description":"CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52334","description":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52334","description":"CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO MANJ W/O RMVL URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52330","description":"CYSTO MANJ W/O RMVL URETERAL STONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO MANJ W/O RMVL URETERAL STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52330","description":"CYSTO MANJ W/O RMVL URETERAL STONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52402","description":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52402","description":"CYSTO TRURL RESECTION/INCISION EJACULATORY DUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52315","description":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52315","description":"CYSTO W/COMPLEX REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DESTRUCTION OF LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52214","description":"CYSTO W/DESTRUCTION OF LESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/DESTRUCTION OF LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52214","description":"CYSTO W/DESTRUCTION OF LESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52010","description":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52010","description":"CYSTO W/EJACULATORY DUCT CATHETERIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/INSERT URETERAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52332","description":"CYSTO W/INSERT URETERAL STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/INSERT URETERAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52332","description":"CYSTO W/INSERT URETERAL STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52001","description":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52001","description":"CYSTO W/IRRIG  and  EVAC MULTPLE OBSTRUCTING CLOTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF LESIONS SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52224","description":"CYSTO W/REMOVAL OF LESIONS SMALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF LESIONS SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52224","description":"CYSTO W/REMOVAL OF LESIONS SMALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF TUMORS SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52234","description":"CYSTO W/REMOVAL OF TUMORS SMALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/REMOVAL OF TUMORS SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52234","description":"CYSTO W/REMOVAL OF TUMORS SMALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52300","description":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52300","description":"CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52301","description":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52301","description":"CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52310","description":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52310","description":"CYSTO W/SIMPLE REMOVAL STONE  and  STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52327","description":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52327","description":"CYSTO W/SUBURTRIC NJX IMPLT MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52343","description":"CYSTO W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52343","description":"CYSTO W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52341","description":"CYSTO W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52341","description":"CYSTO W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52342","description":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52342","description":"CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52353","description":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52353","description":"CYSTO W/URETEROSCOPY W/LITHOTRIPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52352","description":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52352","description":"CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52007","description":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52007","description":"CYSTO W/URTRL CATHJ BRUSH BX URTR and /RENAL PELVIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52346","description":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52346","description":"CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52344","description":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52344","description":"CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52345","description":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52345","description":"CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52351","description":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52351","description":"CYSTO W/URTROSCOPY and /PYELOSCOPY DX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52354","description":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52354","description":"CYSTO/PYELOSCOPY BX and /FULGURATION PELIVC LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52355","description":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52355","description":"CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74430","description":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74430","description":"CYSTOGRAPHY MINIMUM 3 VIEWS RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51050","description":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51050","description":"CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51865","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51865","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51860","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51860","description":"CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51040","description":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51040","description":"CYSTOSTOMY CYSTOTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51525","description":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51525","description":"CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51535","description":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51535","description":"CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISION BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51530","description":"CYSTOTOMY EXCISION BLADDER TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY EXCISION BLADDER TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51530","description":"CYSTOTOMY EXCISION BLADDER TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51520","description":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51520","description":"CYSTOTOMY SIMPLE EXCISION VESICAL NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51065","description":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51065","description":"CYSTOTOMY W/CALCULUS BASKET XTRJ and /FRAGMENTATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51045","description":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51045","description":"CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51020","description":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51020","description":"CYSTOTOMY/CYSTOSTOMY FULG and /INSJ RADACT MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52000","description":"CYSTOURETHROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52282","description":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52282","description":"CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52250","description":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52250","description":"CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52285","description":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52285","description":"CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52235","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52235","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL MED BLADDER TUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52240","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52240","description":"CYSTOURETHROSCOPY W/DEST  and /RMVL TUMOR LARGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52260","description":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52260","description":"CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52265","description":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52265","description":"CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52270","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52270","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52275","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52276","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52275","description":"CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52277","description":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52277","description":"CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52320","description":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52320","description":"CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52283","description":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52283","description":"CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52005","description":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52005","description":"CYSTOURETHROSCOPY W/URETERAL CATHETERIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52290","description":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52290","description":"CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52204","description":"CYSTOURETHROSCOPY WITH BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYSTOURETHROSCOPY WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52204","description":"CYSTOURETHROSCOPY WITH BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81229","description":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1020.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":742.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81229","description":"CYTOG ALYS CHRMOML ABNOR CPY NUMBER and SNP VRNT CGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1020.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":742.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88291","description":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","negotiated_rates":[{"provider_references":[210414],"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":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88291","description":"CYTOGENETICS AND MOLEC CYTOGENETICS INTERP AND REP","negotiated_rates":[{"provider_references":[210414],"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":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOGENOM CONST MICROARRAY COPY NUMBER AND SNP VAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81229","description":"CYTOGENOM CONST MICROARRAY COPY NUMBER AND SNP VAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1020.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1020.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":742.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATHOLOGY FORENSIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88125","description":"CYTOPATHOLOGY FORENSIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTOPATHOLOGY FORENSIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88125","description":"CYTOPATHOLOGY FORENSIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88175","description":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88175","description":"CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88174","description":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88174","description":"CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88143","description":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88143","description":"CYTP C/V FLU AUTO THIN MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.273,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88142","description":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88142","description":"CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88141","description":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88141","description":"CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CONCENTRATION SMEARS  AND  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88108","description":"CYTP CONCENTRATION SMEARS  AND  INTERPRETATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP CONCENTRATION SMEARS  AND  INTERPRETATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88108","description":"CYTP CONCENTRATION SMEARS  AND  INTERPRETATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88173","description":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP  AND  REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88173","description":"CYTP EVAL FINE NEEDLE ASPIRATE INTERP  AND  REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88172","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88172","description":"CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88106","description":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88106","description":"CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88104","description":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","negotiated_rates":[{"provider_references":[210414],"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":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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88104","description":"CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ","negotiated_rates":[{"provider_references":[210414],"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":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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":307.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":307.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88112","description":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88112","description":"CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88155","description":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88155","description":"CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR UNDER PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88150","description":"CYTP SLIDES C/V MNL SCR UNDER PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR UNDER PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88150","description":"CYTP SLIDES C/V MNL SCR UNDER PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88167","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88167","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR CELL S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88152","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88152","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88166","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88166","description":"CYTP SLIDES C/V MNL SCR and CPTR RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88153","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88153","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.142,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88165","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88165","description":"CYTP SLIDES C/V MNL SCR and RESCR PHYS SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88164","description":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88164","description":"CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC EXTND STD  GT  5 SLIDES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88162","description":"CYTP SMRS ANY OTH SRC EXTND STD  GT  5 SLIDES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC EXTND STD  GT  5 SLIDES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88162","description":"CYTP SMRS ANY OTH SRC EXTND STD  GT  5 SLIDES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88161","description":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88161","description":"CYTP SMRS ANY OTH SRC PREPJ SCR AND INTERPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88160","description":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88160","description":"CYTP SMRS ANY OTH SRC SCR AND INTERPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88148","description":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88148","description":"CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88147","description":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88147","description":"CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Caster pin lock each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0073","description":"Caster pin lock each","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"Chemiluminescent assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82397","description":"Chemiluminescent assay","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Chromogenic substrate assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85130","description":"Chromogenic substrate assay","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Conditioning play audiometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92582","description":"Conditioning play audiometry","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.532,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.532,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.532,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70170","description":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70170","description":"DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O COLLECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87166","description":"DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87164","description":"DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87164","description":"DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11000","description":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11000","description":"DBRDMT EXTENSV ECZMT/INFCT SKIN UP 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT  BDY SURF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10 PCT  BDY SURF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11001","description":"DBRDMT EXTNSVE ECZMT/INFCT SKN EA ADDL 10 PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11012","description":"DBRDMT FX and /DISLC SUBQ T/M/F BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11004","description":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11004","description":"DBRDMT SKN SBQ T/M/F NECRO INFCTJ XTRNL GENT and PER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11005","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11005","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT PER and ABDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT and PR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11004","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT and PR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11006","description":"DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11045","description":"DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11010","description":"DBRDMT W/RMVL FM FX and /DISLC SKIN and SUBQ TISSUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11011","description":"DBRDMT W/RMVL FM FX and /DISLC SKN SUBQ T/M/F MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69720","description":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":759.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69720","description":"DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":759.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27057","description":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1017.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1017.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":644.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":644.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":704.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":704.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":768.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":768.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":855.6977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":855.6977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":935.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":935.4924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27057","description":"DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1017.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1017.7588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":644.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":644.8378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":704.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":704.3916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":768.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":768.2207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":855.6977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":855.6977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":935.4924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":935.4924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27498","description":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27498","description":"DCMPRN FASCIOTOMY THIGH and /KNEE MLT COMPARTMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25025","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":789.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25025","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR DBRDMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":789.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25024","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25024","description":"DCMPRN FASCT F/ARM and /WRST FLXR and XTNSR W/O DB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25023","description":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":849.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25023","description":"DCMPRN FASCT F/ARM and /WRST FLXR/XTNSR W/DBRDMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":849.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25020","description":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25020","description":"DCMPRN FASCT F/ARM and WRST FLXR/XTNSR W/O DBRDMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27600","description":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27600","description":"DCMPRN FASCT LEG ANT and /LAT COMPARTMENTS ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27892","description":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27892","description":"DCMPRN FASCT LEG ANT and /LAT W/DBRDMT MUSC and /NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27602","description":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27602","description":"DCMPRN FASCT LEG ANT and /LAT and PST CMPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27894","description":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27894","description":"DCMPRN FASCT LEG ANT and /LAT and PST W/DBRDMT MUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27601","description":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27601","description":"DCMPRN FASCT LEG POST COMPARTMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27893","description":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27893","description":"DCMPRN FASCT LEG PST W/DBRDMT MUSC and /NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27497","description":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27497","description":"DCMPRN FASCT THIGH and /KNEE DBRDMT MUSCLE and /NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27499","description":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27499","description":"DCMPRN FASCT THIGH and /KNEE MLT DBRDMT NV MUSC and NRVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69725","description":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1191.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69725","description":"DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1191.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1191.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1 OR GT  LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1 OR GT  LEVELS LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62287","description":"DCMPRN PERQ NUCLEUS PULPOSUS 1/MLT LEVELS LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62287","description":"DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11044","description":"DEBRIDEMENT BONE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11047","description":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11047","description":"DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT BONE MUSCLE  and /FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11044","description":"DEBRIDEMENT BONE MUSCLE  and /FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69222","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69222","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69220","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69220","description":"DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and  FASCIA 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and  FASCIA 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11043","description":"DEBRIDEMENT MUSCLE  and /FASCIA 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11046","description":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11046","description":"DEBRIDEMENT MUSCLE  and /FASCIA EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 1-5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11720","description":"DEBRIDEMENT NAIL ANY METHOD 1-5","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11721","description":"DEBRIDEMENT NAIL ANY METHOD 6 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97597","description":"DEBRIDEMENT OPEN WOUND FIRST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97598","description":"DEBRIDEMENT OPN WND EA ADDL 20 SQ CM/PRT THEREOF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96574","description":"DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11042","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11045","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11045","description":"DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECALCIFICATION PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88311","description":"DECALCIFICATION PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.568,"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":"88311","description":"DECALCIFICATION PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36593","description":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36593","description":"DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27027","description":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":758.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":758.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":832.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":832.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":906.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":906.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27027","description":"DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":758.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":758.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":832.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":832.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":906.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":906.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27496","description":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27496","description":"DECOMPRESSION FASCIOTOMY THIGH and /KNEE 1 COMPONENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24495","description":"DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24495","description":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24495","description":"DECOMPRESSION FASCT FOREARM W/BRACH ARTERY EXPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26035","description":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26035","description":"DECOMPRESSION FINGERS and /HAND INJECTION INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION INTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69960","description":"DECOMPRESSION INTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1198.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION INTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69960","description":"DECOMPRESSION INTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1198.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1198.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61330","description":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1135.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61330","description":"DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1135.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION PLANTAR DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64726","description":"DECOMPRESSION PLANTAR DIGITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION UNSPECIFIED NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64722","description":"DECOMPRESSION UNSPECIFIED NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSION UNSPECIFIED NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64722","description":"DECOMPRESSION UNSPECIFIED NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSIVE FASCIOTOMY HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26037","description":"DECOMPRESSIVE FASCIOTOMY HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECOMPRESSIVE FASCIOTOMY HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26037","description":"DECOMPRESSIVE FASCIOTOMY HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION  AND  PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32320","description":"DECORTICATION  AND  PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":992.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION  AND  PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32320","description":"DECORTICATION  AND  PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":992.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32225","description":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32225","description":"DECORTICATION PULMONARY PARTIAL SEPARATE PROC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32220","description":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":991.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32220","description":"DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":991.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82626","description":"DEHYDROEPIANDROSTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82626","description":"DEHYDROEPIANDROSTERONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE-SULFATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82627","description":"DEHYDROEPIANDROSTERONE-SULFATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEHYDROEPIANDROSTERONE-SULFATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82627","description":"DEHYDROEPIANDROSTERONE-SULFATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.558,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.293,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15620","description":"DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15610","description":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15610","description":"DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15600","description":"DELAY FLAP/SECTIONING FLAP TRUNK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELAY FLAP/SECTIONING FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15600","description":"DELAY FLAP/SECTIONING FLAP TRUNK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIGATION URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50940","description":"DELIGATION URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIGATION URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50940","description":"DELIGATION URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY PLACENTA SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59414","description":"DELIVERY PLACENTA SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY PLACENTA SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59414","description":"DELIVERY PLACENTA SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DELIVERY/BIRTHING ROOM RESUSCITATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99465","description":"DELIVERY/BIRTHING ROOM RESUSCITATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.407,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94664","description":"DEMO and /EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94664","description":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94664","description":"DEMO and /EVAL PT UTILIZ AERSL GEN NEB INHLR/IPPB","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYCORTISOL 11-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82634","description":"DEOXYCORTISOL 11-","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYCORTISOL 11-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82634","description":"DEOXYCORTISOL 11-","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEOXYRIBONUCLEASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86215","description":"DEOXYRIBONUCLEASE ANTIBODY","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DEOXYRIBONUCLEASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86215","description":"DEOXYRIBONUCLEASE ANTIBODY","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DERMABRASION REGIONAL OTHER THAN FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15782","description":"DERMABRASION REGIONAL OTHER THAN FACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION REGIONAL OTHER THAN FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15782","description":"DERMABRASION REGIONAL OTHER THAN FACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SEGMENTAL FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15781","description":"DERMABRASION SEGMENTAL FACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SEGMENTAL FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15781","description":"DERMABRASION SEGMENTAL FACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SUPERFICIAL ANY SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15783","description":"DERMABRASION SUPERFICIAL ANY SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.5757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.5757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":312.5322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":312.5322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION SUPERFICIAL ANY SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15783","description":"DERMABRASION SUPERFICIAL ANY SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.5757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.5757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":312.5322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":312.5322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.3045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":347.7034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":379.4342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":392.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":416.7096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":468.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION TOTAL FACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15780","description":"DERMABRASION TOTAL FACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMABRASION TOTAL FACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15780","description":"DERMABRASION TOTAL FACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15136","description":"DERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15130","description":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15130","description":"DERMAL AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15131","description":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15131","description":"DERMAL AGRFT T/A/L EA ADD 100 SQCM/1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15135","description":"DERMAL AUTOGRAFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15130","description":"DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15131","description":"DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33875","description":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1663.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33875","description":"DESCENDING THORACIC AORTA GRAFT W/WO BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1663.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1663.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESOXYCORTICOSTERONE 11-","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82633","description":"DESOXYCORTICOSTERONE 11-","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESOXYCORTICOSTERONE 11-","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82633","description":"DESOXYCORTICOSTERONE 11-","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.258,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17111","description":"DESTRUCTION BENIGN LESIONS 15 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION BENIGN LESIONS UP TO 14","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17110","description":"DESTRUCTION BENIGN LESIONS UP TO 14","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17106","description":"DESTRUCTION CUTAN VASC PROLIFERATIVE LES LT 10SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE  LT 10CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17106","description":"DESTRUCTION CUTANEOUS VASC PROLIFERATIVE  LT 10CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46930","description":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46930","description":"DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56515","description":"DESTRUCTION LESIONS VULVA EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56515","description":"DESTRUCTION LESIONS VULVA EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56501","description":"DESTRUCTION LESIONS VULVA SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION LESIONS VULVA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56501","description":"DESTRUCTION LESIONS VULVA SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.506,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.506,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.601,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.601,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17266","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17266","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17261","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17261","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17262","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17262","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17263","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17263","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17264","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17264","description":"DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.498,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17270","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17271","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17272","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17273","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17274","description":"DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17260","description":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17260","description":"DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17004","description":"DESTRUCTION PREMALIGNANT LESION 15 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.825,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.825,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45190","description":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45190","description":"DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57065","description":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57065","description":"DESTRUCTION VAGINAL LESIONS EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57061","description":"DESTRUCTION VAGINAL LESIONS SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DESTRUCTION VAGINAL LESIONS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57061","description":"DESTRUCTION VAGINAL LESIONS SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0017","description":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0017","description":"DETACHABLE ADJUST HT ARMREST BASE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0015","description":"DETACHABLE NONADJUST HT ARMREST REPLAC ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0015","description":"DETACHABLE NONADJUSTABLE HEIGHT ARMREST EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.456,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DETERMINATION REFRACTIVE STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92015","description":"DETERMINATION REFRACTIVE STATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96110","description":"DEVELOPMENTAL SCREEN W/SCORING  and  DOC STD INSTRM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEVELOPMENTAL 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.624,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.624,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXMETHASONE SUPPRESSION PANEL 48 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80420","description":"DEXMETHASONE SUPPRESSION PANEL 48 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DEXMETHASONE SUPPRESSION PANEL 48 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80420","description":"DEXMETHASONE SUPPRESSION PANEL 48 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5513","description":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5513","description":"DIA ONLY MX DEN INSRT CSTM FRM MDL PT FT CF EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5508","description":"DIAB ONLY DELUXE FEATURE SHOE/CSTM MOLD SHOE","negotiated_rates":[{"provider_references":[210414],"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":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5510","description":"DIAB ONLY DIR FORM COMPRS MOLD PTS FT W/O HEAT","negotiated_rates":[{"provider_references":[210414],"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":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5501","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5501","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MOLD PTS FT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5500","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5500","description":"DIAB ONLY FIT CSTM PREP AND SPL SHOE MX DNSITY INSRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.314,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5503","description":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5503","description":"DIAB ONLY MOD SHOE/CSTM MOLD ROLLER/ROCKR BOTTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5505","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5505","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/MT BAR SHOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5506","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5506","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/OFF SET HEEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5504","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5504","description":"DIAB ONLY MOD SHOE/CSTM MOLD SHOE W/WEDGE SHOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5507","description":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5507","description":"DIAB ONLY NOS MOD SHOE/CSTM MOLD SHOE PER SHOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29805","description":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29805","description":"DIAGNOSTIC ARTHROSCOPY SHOULDER  Plus - SYNOVIAL BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38220","description":"DIAGNOSTIC BONE MARROW ASPIRATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW ASPIRATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38220","description":"DIAGNOSTIC BONE MARROW ASPIRATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38221","description":"DIAGNOSTIC BONE MARROW BIOPSIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC BONE MARROW BIOPSIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38221","description":"DIAGNOSTIC BONE MARROW BIOPSIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71270","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71270","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C Plus","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71260","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71260","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71250","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71250","description":"DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0279","description":"DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNI/BIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77066","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77065","description":"DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE CONC SOL ADD PERITON DIALYSIS-10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4766","description":"DIALYSATE CONC SOL ADD PERITON DIALYSIS-10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DEXTROSE FLUID  GT  5999 CC PD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4726","description":"DIALYSATE DEXTROSE FLUID  GT  5999 CC PD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL  GT 999 LT or equal to 1999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4721","description":"DIALYSATE DXTROS FL  GT 999 LT or equal to 1999CC PERITON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL GT 1999 LT or equal to 2999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4722","description":"DIALYSATE DXTROS FL GT 1999 LT or equal to 2999CC PERITON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL GT 2999 LT or equal to 3999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4723","description":"DIALYSATE DXTROS FL GT 2999 LT or equal to 3999CC PERITON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL GT 3999 LT or equal to 4999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4724","description":"DIALYSATE DXTROS FL GT 3999 LT or equal to 4999CC PERITON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE DXTROS FL GT 4999 LT or equal to 5999CC PERITON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4725","description":"DIALYSATE DXTROS FL GT 4999 LT or equal to 5999CC PERITON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSATE SOLUTION NON-DXTROS CONTAINING 500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4728","description":"DIALYSATE SOLUTION NON-DXTROS CONTAINING 500 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90947","description":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90947","description":"DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90945","description":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90945","description":"DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4266","description":"DIAPHRAGM FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM FOR CONTRACEPTIVE USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4266","description":"DIAPHRAGM FOR CONTRACEPTIVE USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57170","description":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57170","description":"DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94729","description":"DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIFFUSING CAPACITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94729","description":"DIFFUSING CAPACITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95957","description":"DIGITAL ANALYSIS ELECTROENCEPHALOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45905","description":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45905","description":"DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53665","description":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53665","description":"DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53660","description":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53660","description":"DILAT FEMALE URETHRA W/SUPPOSITORY and /INSTLJ INI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53661","description":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53661","description":"DILAT FEMALE URT W/SUPPOSITORY and /INSTLJ SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45910","description":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45910","description":"DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53600","description":"DILAT URETHRAL STRIX DILATOR MALE 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53600","description":"DILAT URETHRAL STRIX DILATOR MALE 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53601","description":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","negotiated_rates":[{"provider_references":[210414],"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":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53601","description":"DILAT URETHRAL STRIX DILATOR MALE SBSQ","negotiated_rates":[{"provider_references":[210414],"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":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53620","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53620","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53621","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53621","description":"DILAT URETHRAL STRIX FILIFORM  AND  FOLLWR MALE SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53605","description":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53605","description":"DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42660","description":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42660","description":"DILAT and CATHJ SALIVARY DUCT W/WO INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  AND  CURETTAGE CERVICAL STUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57558","description":"DILATION  AND  CURETTAGE CERVICAL STUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  AND  CURETTAGE CERVICAL STUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57558","description":"DILATION  AND  CURETTAGE CERVICAL STUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58120","description":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58120","description":"DILATION  and  CURETTAGE DX and /THER NONOBSTETRIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57800","description":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57800","description":"DILATION CERVICAL CANAL INSTRUMENTAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43450","description":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43450","description":"DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPHAGUS GUIDE WIRE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43453","description":"DILATION ESOPHAGUS GUIDE WIRE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION ESOPHAGUS GUIDE WIRE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43453","description":"DILATION ESOPHAGUS GUIDE WIRE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION SALIVARY DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42650","description":"DILATION SALIVARY DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION SALIVARY DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42650","description":"DILATION SALIVARY DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION URETERS/URETHRA RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74485","description":"DILATION URETERS/URETHRA RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION URETERS/URETHRA RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74485","description":"DILATION URETERS/URETHRA RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57400","description":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57400","description":"DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35141","description":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":657.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35141","description":"DIR RPR ANEURYSM  AND  GRAFT COMMON FEMORAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":657.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":657.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35131","description":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":835.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35131","description":"DIR RPR ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":835.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35151","description":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35151","description":"DIR RPR ANEURYSM  AND  GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35102","description":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1128.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35102","description":"DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1128.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35091","description":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1067.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35091","description":"DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1067.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1067.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35081","description":"DIR RPR ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1039.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35081","description":"DIR RPR ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1039.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1039.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35011","description":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35011","description":"DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35001","description":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35001","description":"DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35121","description":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":949.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35121","description":"DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":949.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35021","description":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":773.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35021","description":"DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":773.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35111","description":"DIR RPR ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":799.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35111","description":"DIR RPR ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":799.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":799.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35005","description":"DIR RPR ANEURYSM VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR ANEURYSM VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35005","description":"DIR RPR ANEURYSM VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35092","description":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1557.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1557.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35092","description":"DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1557.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1557.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35122","description":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1133.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35122","description":"DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1133.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1133.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35132","description":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35132","description":"DIR RPR RUPTD ANEURYSM  AND  GRAFT ILIAC ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35142","description":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":795.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35142","description":"DIR RPR RUPTD ANEURYSM  AND  GRF COMMON FEMORAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":795.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":795.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35152","description":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":840.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35152","description":"DIR RPR RUPTD ANEURYSM  AND  GRF POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":840.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35103","description":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1297.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35103","description":"DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1297.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1297.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35082","description":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35082","description":"DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35013","description":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":713.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35013","description":"DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":713.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35002","description":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35002","description":"DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35022","description":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":882.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35022","description":"DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":882.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":882.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35045","description":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35045","description":"DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35112","description":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35112","description":"DIR RPR RUPTD ANEURYSM SPLENIC ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33645","description":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1056.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1056.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33645","description":"DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1056.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1056.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT NASAL MUCOUS MEMBRANE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95065","description":"DIRECT NASAL MUCOUS MEMBRANE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIRECT NASAL MUCOUS MEMBRANE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95065","description":"DIRECT NASAL MUCOUS MEMBRANE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27295","description":"DISARTICULATION HIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27295","description":"DISARTICULATION HIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27598","description":"DISARTICULATION KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27598","description":"DISARTICULATION KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23920","description":"DISARTICULATION SHOULDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23920","description":"DISARTICULATION SHOULDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THROUGH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25920","description":"DISARTICULATION THROUGH WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THROUGH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25920","description":"DISARTICULATION THROUGH WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25924","description":"DISARTICULATION THRU WRIST RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25924","description":"DISARTICULATION THRU WRIST RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25922","description":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25922","description":"DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":423.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":423.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63075","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63075","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63076","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63076","description":"DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63077","description":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":931.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63077","description":"DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":931.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63078","description":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63078","description":"DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY CERVICAL/THORACIC RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY CERVICAL/THORACIC RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72285","description":"DISKOGRAPY CERVICAL/THORACIC RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY LUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72295","description":"DISKOGRAPY LUMBAR RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISKOGRAPY LUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72295","description":"DISKOGRAPY LUMBAR RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPBL CYCLER SET USED W/CYCLER DIALYSIS MACH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4671","description":"DISPBL CYCLER SET USED W/CYCLER DIALYSIS MACH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5110","description":"DISPENSING FEE BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPENSING FEE BINAURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5160","description":"DISPENSING FEE BINAURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPLACEMENT THERAPY PROETZ TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30210","description":"DISPLACEMENT THERAPY PROETZ TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPLACEMENT THERAPY PROETZ TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30210","description":"DISPLACEMENT THERAPY PROETZ TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4360","description":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4360","description":"DISPSBL EXT URETHRAL CLAMP/COMP DEV PAD POUCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23921","description":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23921","description":"DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISSECTION DEEP JUGULAR NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38542","description":"DISSECTION DEEP JUGULAR NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISSECTION DEEP JUGULAR NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38542","description":"DISSECTION DEEP JUGULAR NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92587","description":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92587","description":"DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92588","description":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92588","description":"DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43130","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43135","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":903.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43135","description":"DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":903.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":903.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL VASCULAR RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33802","description":"DIVISION ABERRANT VESSEL VASCULAR RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":672.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL VASCULAR RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33802","description":"DIVISION ABERRANT VESSEL VASCULAR RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":672.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33803","description":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33803","description":"DIVISION ABERRANT VESSEL W/REANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28250","description":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28250","description":"DIVISION PLANTAR FASCIA  AND  MUSCLE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21705","description":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21705","description":"DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21700","description":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21700","description":"DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21725","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21725","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21720","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21720","description":"DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STRICTURE RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45150","description":"DIVISION STRICTURE RECTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DIVISION STRICTURE RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45150","description":"DIVISION STRICTURE RECTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19342","description":"DLYD INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33886","description":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33886","description":"DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33883","description":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33883","description":"DLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMD DUPLICATION/DELETION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81161","description":"DMD DUPLICATION/DELETION ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMD DUPLICATION/DELETION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81161","description":"DMD DUPLICATION/DELETION ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME DEL SET UP and /DISPNS SRVC CMPNT ANOTH HCPCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9901","description":"DME DEL SET UP and /DISPNS SRVC CMPNT ANOTH HCPCS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DME DEL SET UP and /DISPNS SRVC CMPNT ANOTH HCPCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9901","description":"DME DEL SET UP and /DISPNS SRVC CMPNT ANOTH HCPCS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81234","description":"DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81234","description":"DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86225","description":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86225","description":"DNA ANTIBODY NATIVE/DOUBLE STRANDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY SINGLE STRANDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86226","description":"DNA ANTIBODY SINGLE STRANDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA ANTIBODY SINGLE STRANDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86226","description":"DNA ANTIBODY SINGLE STRANDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27035","description":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27035","description":"DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7016","description":"DOME and MOUTHPIECE USED W/SMALL VOLUME US NEBULIZR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47133","description":"DONOR HEPATECTOMY CADAVER DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II  AND  III","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47140","description":"DONOR HEPATECTOMY LIVING DONOR SEG II  AND  III","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2451.2587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2451.2587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2694.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2694.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2695.5194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2695.5194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2904.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2904.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2959.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2959.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3019.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3019.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3189.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3189.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3318.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3318.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3577.2698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3577.2698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.9515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II  AND  III","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47140","description":"DONOR HEPATECTOMY LIVING DONOR SEG II  AND  III","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2451.2587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2451.2587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2694.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2694.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2695.5194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2695.5194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2904.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2904.7093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2959.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2959.3865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3019.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3019.7086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3189.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3189.3183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3318.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3318.7468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3577.2698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3577.2698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.9515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II III  AND  IV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47141","description":"DONOR HEPATECTOMY LIVING DONOR SEG II III  AND  IV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2875.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2875.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3155.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3155.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3233.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3233.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3397.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3397.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3548.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3548.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3590.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3590.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3820.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3820.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3941.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3941.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4243.9184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4243.9184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG II III  AND  IV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47141","description":"DONOR HEPATECTOMY LIVING DONOR SEG II III  AND  IV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2875.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2875.6505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3155.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3155.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3233.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3233.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3397.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3397.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3548.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3548.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":359.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":359.3603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3590.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3590.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3820.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3820.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":387.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":387.9515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3941.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3941.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4243.9184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4243.9184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII  AND VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47142","description":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII  AND VI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":3202.5117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3202.5117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3513.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3513.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3560.1017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3560.1017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3779.9131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3779.9131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3906.5359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3906.5359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3917.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3917.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4202.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4202.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4299.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4299.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4625.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4625.9578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII  AND VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47142","description":"DONOR HEPATECTOMY LIVING DONOR SEG V VI VII  AND VI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":3202.5117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3202.5117,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3513.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3513.3405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3560.1017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3560.1017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3779.9131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3779.9131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3906.5359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3906.5359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3917.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3917.6918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4202.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4202.9354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4299.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4299.7313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":4625.9578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":4625.9578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50300","description":"DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50320","description":"DONOR NEPHRECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1110.4129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1110.4129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1207.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1207.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1228.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1228.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1331.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1331.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1341.4803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1341.4803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1352.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1352.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1452.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1452.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1494.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1494.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1632.0014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1632.0014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR NEPHRECTOMY OPEN LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50320","description":"DONOR NEPHRECTOMY OPEN LIVING DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1110.4129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1110.4129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1207.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1207.9435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1228.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1228.5185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1331.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1331.3599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1341.4803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1341.4803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1352.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1352.0016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1452.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1452.6051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1494.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1494.7905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1632.0014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1632.0014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48550","description":"DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32850","description":"DONOR PNEUMONECTOMY FROM CADAVER DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOP ECHOCARD COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93325","description":"DOP ECHOCARD COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93321","description":"DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[210414],"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":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93325","description":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93325","description":"DOPPLER ECHO COLOR FLOW VELOCITY MAPPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76828","description":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76828","description":"DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76827","description":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76827","description":"DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93320","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93320","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL DISPLAY COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93321","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[210414],"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":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93321","description":"DOPPLER ECHO PULSE WAVE W/SPECTRAL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[210414],"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":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93320","description":"DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76821","description":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76821","description":"DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76820","description":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76820","description":"DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.687,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAIN BAG/BOTTLE FOR DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4911","description":"DRAIN BAG/BOTTLE FOR DIALYSIS EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42000","description":"DRAINAGE ABSCESS PALATE UVULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PALATE UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42000","description":"DRAINAGE ABSCESS PALATE UVULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42305","description":"DRAINAGE ABSCESS PAROTID COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42305","description":"DRAINAGE ABSCESS PAROTID COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42300","description":"DRAINAGE ABSCESS PAROTID SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS PAROTID SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42300","description":"DRAINAGE ABSCESS PAROTID SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42320","description":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42320","description":"DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30000","description":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30000","description":"DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30020","description":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30020","description":"DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE DEEP PERIURETHRAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53040","description":"DRAINAGE DEEP PERIURETHRAL ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE DEEP PERIURETHRAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53040","description":"DRAINAGE DEEP PERIURETHRAL ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTENSION LINE STERILE DIALYSIS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4672","description":"DRAINAGE EXTENSION LINE STERILE DIALYSIS EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69020","description":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69020","description":"DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69005","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69000","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69000","description":"DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26011","description":"DRAINAGE FINGER ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26011","description":"DRAINAGE FINGER ABSCESS COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26010","description":"DRAINAGE FINGER ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE FINGER ABSCESS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26010","description":"DRAINAGE FINGER ABSCESS SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26030","description":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26030","description":"DRAINAGE OF PALMAR BURSA MULTIPLE BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26025","description":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26025","description":"DRAINAGE OF PALMAR BURSA SINGLE BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49060","description":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49060","description":"DRAINAGE OF RETROPERITONEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58822","description":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58822","description":"DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58820","description":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58820","description":"DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58805","description":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58805","description":"DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58800","description":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58800","description":"DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50020","description":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50020","description":"DRAINAGE PERIRENAL/RENAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49020","description":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1001.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49020","description":"DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1001.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1001.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49040","description":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49040","description":"DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26020","description":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26020","description":"DRAINAGE TENDON SHEATH DIGIT and /PALM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRESSING CHANGE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15852","description":"DRESSING CHANGE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41800","description":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41800","description":"DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40801","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40801","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40800","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40800","description":"DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42310","description":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42310","description":"DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38305","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38305","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38300","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38300","description":"DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG OF SKENE'S GLAND ABSCESS OR CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53060","description":"DRG OF SKENE'S GLAND ABSCESS OR CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG OF SKENE'S GLAND ABSCESS OR CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53060","description":"DRG OF SKENE'S GLAND ABSCESS OR CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION COMPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53085","description":"DRG PERINEAL URINARY XTRVASATION COMPLIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION COMPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53085","description":"DRG PERINEAL URINARY XTRVASATION COMPLIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53080","description":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53080","description":"DRG PERINEAL URINARY XTRVASATION UNCOMP SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51080","description":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51080","description":"DRG PRIVESICAL/PREVESICAL SPACE ABSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49062","description":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49062","description":"DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0098","description":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0098","description":"DRIVE BELT FOR POWER WHEELCHAIR REPLACEMNT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16030","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16030","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16025","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16025","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16020","description":"DRS and /DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80157","description":"DRUG ASSAY CARBAMAZEPINE FREE","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DRUG ASSAY CARBAMAZEPINE FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80157","description":"DRUG ASSAY CARBAMAZEPINE FREE","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DRUG ASSAY CARBAMAZEPINE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80156","description":"DRUG ASSAY CARBAMAZEPINE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CARBAMAZEPINE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80156","description":"DRUG ASSAY CARBAMAZEPINE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CYCLOSPORINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80158","description":"DRUG ASSAY CYCLOSPORINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY CYCLOSPORINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80158","description":"DRUG ASSAY CYCLOSPORINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.884,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.884,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80164","description":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80164","description":"DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE AMIKACIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80150","description":"DRUG SCREEN QUANTITATIVE AMIKACIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE AMIKACIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80150","description":"DRUG SCREEN QUANTITATIVE AMIKACIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80162","description":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80162","description":"DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80168","description":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80168","description":"DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE GENTAMICIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80170","description":"DRUG SCREEN QUANTITATIVE GENTAMICIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE GENTAMICIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80170","description":"DRUG SCREEN QUANTITATIVE GENTAMICIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80173","description":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80173","description":"DRUG SCREEN QUANTITATIVE HALOPRIDOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80175","description":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80175","description":"DRUG SCREEN QUANTITATIVE LAMOTRIGINE","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80177","description":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80177","description":"DRUG SCREEN QUANTITATIVE LEVETIRACETAM","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DRUG SCREEN QUANTITATIVE LIDOCAINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80176","description":"DRUG SCREEN QUANTITATIVE LIDOCAINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LIDOCAINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80176","description":"DRUG SCREEN QUANTITATIVE LIDOCAINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LITHIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80178","description":"DRUG SCREEN QUANTITATIVE LITHIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE LITHIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80178","description":"DRUG SCREEN QUANTITATIVE LITHIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80184","description":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80184","description":"DRUG SCREEN QUANTITATIVE PHENOBARBITAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80186","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80186","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN FREE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80185","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80185","description":"DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"DRUG SCREEN QUANTITATIVE PRIMIDONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80188","description":"DRUG SCREEN QUANTITATIVE PRIMIDONE","negotiated_rates":[{"provider_references":[210414],"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":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PRIMIDONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80188","description":"DRUG SCREEN QUANTITATIVE PRIMIDONE","negotiated_rates":[{"provider_references":[210414],"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":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80190","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80190","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80192","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80192","description":"DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE QUINIDINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80194","description":"DRUG SCREEN QUANTITATIVE QUINIDINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE QUINIDINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80194","description":"DRUG SCREEN QUANTITATIVE QUINIDINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE SIROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80195","description":"DRUG SCREEN QUANTITATIVE SIROLIMUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE SIROLIMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80195","description":"DRUG SCREEN QUANTITATIVE SIROLIMUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TACROLIMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80197","description":"DRUG SCREEN QUANTITATIVE TACROLIMUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TACROLIMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80197","description":"DRUG SCREEN QUANTITATIVE TACROLIMUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80198","description":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80198","description":"DRUG SCREEN QUANTITATIVE THEOPHYLLINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80200","description":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80200","description":"DRUG SCREEN QUANTITATIVE TOBRAMYCIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80201","description":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80201","description":"DRUG SCREEN QUANTITATIVE TOPIRAMATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80202","description":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80202","description":"DRUG SCREEN QUANTITATIVE VANCOMYCIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0480","description":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0480","description":"DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0482","description":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0482","description":"DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0481","description":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0481","description":"DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80305","description":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80305","description":"DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"G0483","description":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0483","description":"DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80307","description":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80307","description":"DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36838","description":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36838","description":"DSTL REVSC AND INTERVAL LIG UXTR HEMO ACCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64634","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64634","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64636","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64636","description":"DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64633","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64633","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64635","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64635","description":"DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS  GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR LESIONS  GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17107","description":"DSTRJ CUTANEOUS VASCULAR PRLF LES 10.0-50.0SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17108","description":"DSTRJ CUTANEOUS VASCULAR PRLF LESIONS GT 50.0 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40820","description":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40820","description":"DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46924","description":"DSTRJ LESION ANUS EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46924","description":"DSTRJ LESION ANUS EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46900","description":"DSTRJ LESION ANUS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CHEMICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46900","description":"DSTRJ LESION ANUS SIMPLE CHEMICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46916","description":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46916","description":"DSTRJ LESION ANUS SIMPLE CRYOSURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE LASER SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46917","description":"DSTRJ LESION ANUS SIMPLE LASER SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE LASER SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46917","description":"DSTRJ LESION ANUS SIMPLE LASER SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46922","description":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46922","description":"DSTRJ LESION ANUS SIMPLE SURG EXCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46910","description":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46910","description":"DSTRJ LESION ANUS SMPL ELTRDSICCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42160","description":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42160","description":"DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17276","description":"DSTRJ MAL LESION S/N/H/F/G LESION DIAM  GT  4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64610","description":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64610","description":"DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64620","description":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64620","description":"DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64640","description":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64640","description":"DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64630","description":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64630","description":"DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64632","description":"DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64605","description":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64605","description":"DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64680","description":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64680","description":"DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64681","description":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64681","description":"DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64600","description":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64600","description":"DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0018","description":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0018","description":"DTACHBLE ADJUST HT ARMREST UP PRTN REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.802,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.802,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43757","description":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43757","description":"DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43756","description":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":279.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":279.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.2043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.2043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.9342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.9342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43756","description":"DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":279.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":279.2315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":315.2043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":315.2043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":362.9342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":362.9342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENAL MOTILITY MANOMETRIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91022","description":"DUODENAL MOTILITY MANOMETRIC STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44010","description":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44010","description":"DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48547","description":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1119.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48547","description":"DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1119.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1119.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93978","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93978","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93979","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93979","description":"DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93975","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93975","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN COM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93976","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93976","description":"DUP-SCAN ARTL FLO ABDL/PEL/SCROT and /RPR ORGN LMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93980","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93980","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93981","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93981","description":"DUP-SCAN ARTL INFL and VEN O/F PEN VSL F-UP/LMTD STD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93925","description":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93925","description":"DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93926","description":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93926","description":"DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93930","description":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93930","description":"DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93931","description":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93931","description":"DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93970","description":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93970","description":"DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93971","description":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93971","description":"DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93880","description":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93880","description":"DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93882","description":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93882","description":"DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DUPLEX SCAN HEMODIALYSIS ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93990","description":"DUPLEX SCAN HEMODIALYSIS ACCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"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":"DURAL GRAFT SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63710","description":"DURAL GRAFT SPINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DURAL GRAFT SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63710","description":"DURAL GRAFT SPINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.354,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77080","description":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77080","description":"DXA BONE DENSITY STUDY 1 OR GT  SITES AXIAL SKEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77081","description":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77081","description":"DXA BONE DENSITY STUDY 1 OR GT SITES APPENDICLR SKEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96002","description":"DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54231","description":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54231","description":"DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"E-STIM 1 OR GT  AREAS OTH THAN WND CARE PART TX PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0283","description":"E-STIM 1 OR GT  AREAS OTH THAN WND CARE PART TX PLAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93010","description":"ECG ROUTINE ECG W/LEAST 12 LDS I and R ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93005","description":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93005","description":"ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93000","description":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93000","description":"ECG ROUTINE ECG W/LEAST 12 LDS W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76825","description":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76825","description":"ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76826","description":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76826","description":"ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93313","description":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93313","description":"ECHO R-T 2D W/PROBE PLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93315","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93315","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I AND R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93316","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93316","description":"ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93317","description":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93317","description":"ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP AND REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93318","description":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93318","description":"ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93314","description":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93314","description":"ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I AND R ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93312","description":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93312","description":"ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93308","description":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93308","description":"ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST and ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93351","description":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93351","description":"ECHO TTHRC R-T 2D W/WO M-MODE REST and STRS CONT ECG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93306","description":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93306","description":"ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC and COLR D","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76506","description":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76506","description":"ECHOENCEPHALOGRAPHY REAL TIME IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.251,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95721","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95721","description":"EEG COMPLETE STD PHYS/QHP GT 36 HR LT 60 HR W/O VIDEO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95700","description":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95700","description":"EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG EXTENDED MONITORING 61-119 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95813","description":"EEG EXTENDED MONITORING 61-119 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG EXTENDED MONITORING 61-119 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95813","description":"EEG EXTENDED MONITORING 61-119 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG NONINTRACRANIAL SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95955","description":"EEG NONINTRACRANIAL SURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG NONINTRACRANIAL SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95955","description":"EEG NONINTRACRANIAL SURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95709","description":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95709","description":"EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.094,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43249","description":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43249","description":"EGD BALLOON DILATION ESOPHAGUS  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43244","description":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43244","description":"EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DILATION GASTRIC/DUODENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43245","description":"EGD DILATION GASTRIC/DUODENAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD DILATION GASTRIC/DUODENAL STRICTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43245","description":"EGD DILATION GASTRIC/DUODENAL STRICTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43250","description":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43250","description":"EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43247","description":"EGD FLEXIBLE FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD FLEXIBLE FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43247","description":"EGD FLEXIBLE FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43243","description":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43243","description":"EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43248","description":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43248","description":"EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43241","description":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43241","description":"EGD INTRALUMINAL TUBE/CATHETER INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43242","description":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43242","description":"EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43238","description":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43238","description":"EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43246","description":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43246","description":"EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43251","description":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43251","description":"EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43239","description":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43239","description":"EGD TRANSORAL BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43255","description":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43255","description":"EGD TRANSORAL CONTROL BLEEDING ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43240","description":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43240","description":"EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGFR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81235","description":"EGFR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGFR GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81235","description":"EGFR GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43320","description":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":876.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43320","description":"EGST W/WO VAGOTOMY and PYLOROPLASTY TABDL/TTHRC AP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":876.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82656","description":"ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82653","description":"ELASTASE PANCREATIC FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELASTASE PANCREATIC FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82653","description":"ELASTASE PANCREATIC FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6205","description":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4491.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4491.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6205","description":"ELB DISARTC MOLD SCKT W/XPND INTRFCE LOCK FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4491.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4491.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6200","description":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3585.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3585.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6200","description":"ELB DISARTC MOLD SOCKT OUTSIDE LOCK HINGE FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3585.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3585.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6945","description":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11335.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11335.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6945","description":"ELB DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11335.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11335.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6450","description":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3557.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3557.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6450","description":"ELB DISRTC MOLD SCKT ENDOSKEL W/SFT PROSTH TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3557.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3557.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6940","description":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10230.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10230.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6940","description":"ELBOW DISARTIC OTTO BOCK/ Equal to SWITCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10230.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10230.858,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3760","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3760","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3710","description":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3710","description":"ELBOW ORTHOSIS ELASTIC W/METAL JOINTS PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3762","description":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3762","description":"ELBOW ORTHOSIS RIGID W/O JOINT PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82664","description":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82664","description":"ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.12,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95972","description":"ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95970","description":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95970","description":"ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95971","description":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95971","description":"ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95976","description":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95976","description":"ELEC ALYS IMPLT SMPL CN NPGT PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95981","description":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95981","description":"ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95980","description":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95980","description":"ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95982","description":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95982","description":"ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62370","description":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62370","description":"ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7190","description":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8064.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8064.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7190","description":"ELEC ELB ADOLES VRITY VILLAGE/ Equal to  MYOELEC CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8064.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8064.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7185","description":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6491.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6491.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7185","description":"ELEC ELB ADOLES VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6491.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6491.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7186","description":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8952.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8952.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7186","description":"ELEC ELB CHILD VRITY VILLAGE/EQUAL SWITCH CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8952.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8952.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7191","description":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9355.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9355.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7191","description":"ELEC ELB CHLD VRITY VILL/ Equal to  MYOELECTRNICALY CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9355.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9355.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7045","description":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1635.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7045","description":"ELEC HOOK SWITCH/MYOELECTRIC CONTOL PEDIATRIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1635.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1635.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62368","description":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62368","description":"ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62367","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62367","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62369","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62369","description":"ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG and REFIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7008","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6115.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6115.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7008","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CNTRL PEDIATRIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6115.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6115.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7007","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3531.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3531.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7007","description":"ELECTRIC HAND SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3531.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3531.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7009","description":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3818.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3818.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7009","description":"ELECTRIC HOOK SWITCH/MYOELECTRIC CONTROL ADULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3818.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3818.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20975","description":"ELECTRICAL STIMULATION BONE HEALING INVASIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20974","description":"ELECTRICAL STIMULATION BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95873","description":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95873","description":"ELECTRICAL STIMULATION GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4595","description":"ELECTRICAL STIMULATOR SUPPLIES 2 LEAD PER MONTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCOCHLEOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"ELECTROCOCHLEOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCOCHLEOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92584","description":"ELECTROCOCHLEOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCONVULSIVE THERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90870","description":"ELECTROCONVULSIVE THERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCORTICOGRAM SURGERY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95829","description":"ELECTROCORTICOGRAM SURGERY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1158.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":952.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROCORTICOGRAM SURGERY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95829","description":"ELECTROCORTICOGRAM SURGERY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1158.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1158.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":952.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":952.765,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRODES PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4556","description":"ELECTRODES PER PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.166,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":192.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":192.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":207.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":207.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.1615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95824","description":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95824","description":"ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95812","description":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95812","description":"ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95822","description":"ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95819","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95819","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and ASLEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95816","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95816","description":"ELECTROENCEPHALOGRAM W/REC AWAKE and DROWSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91133","description":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":492.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":492.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":494.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":494.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":561.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":561.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.7607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.7607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91133","description":"ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":492.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":492.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":494.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":494.3333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":561.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":561.4023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.7607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.7607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.8145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.8145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91132","description":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":492.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":492.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":526.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":526.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.7607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.7607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":608.8316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":608.8316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91132","description":"ELECTROGASTROGRAPHY DX TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.6045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":492.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":492.3961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":526.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":526.2312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.7607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.7607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":608.8316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":608.8316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROLYSIS EPILATION EACH 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17380","description":"ELECTROLYSIS EPILATION EACH 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROLYSIS EPILATION EACH 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17380","description":"ELECTROLYSIS EPILATION EACH 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROLYTE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80051","description":"ELECTROLYTE PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROLYTE PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80051","description":"ELECTROLYTE PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRON MICROSCOPY DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88348","description":"ELECTRON MICROSCOPY DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"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":"88348","description":"ELECTRON MICROSCOPY DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93724","description":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93724","description":"ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93724","description":"ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7170","description":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6180.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6180.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7170","description":"ELECTRONIC ELBOW HOSMER/EQUAL SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6180.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6180.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2349.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2349.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2349.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2349.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93624","description":"ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG and REC W/ARRHYT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2349.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2349.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING FOOTRESTS ARTICULATING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0053","description":"ELEVATING FOOTRESTS ARTICULATING EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING FOOTRESTS ARTICULATING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0053","description":"ELEVATING FOOTRESTS ARTICULATING EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0046","description":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0046","description":"ELEVATING LEGREST LWR EXTENSN TUBE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0047","description":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0047","description":"ELEVATING LEGREST UPR HANGER BRACKT REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62000","description":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62000","description":"ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62005","description":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":809.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62005","description":"ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":809.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62010","description":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":975.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62010","description":"ELVTN DEPRS SKL FX W/RPR DURA and /DBRDMT BRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":975.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34101","description":"EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34001","description":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34001","description":"EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34201","description":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34201","description":"EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34051","description":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34051","description":"EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34203","description":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34203","description":"EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34151","description":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34151","description":"EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34111","description":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34111","description":"EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99285","description":"EMERGENCY DEPARTMENT VISIT HIGH MDM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[210414],"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":"EMERGENCY DEPARTMENT VISIT LOW MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT LOW MDM","negotiated_rates":[{"provider_references":[210414],"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":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99281","description":"EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99284","description":"EMERGENCY DEPARTMENT VISIT MODERATE MDM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99283","description":"EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY","negotiated_rates":[{"provider_references":[210414],"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":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99282","description":"EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99285","description":"EMERGENCY DEPT VISIT HIGH SEVERITY AND THREAT FUNCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51784","description":"EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57505","description":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57505","description":"ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D AND C","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92979","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92979","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R ADDL VESSEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92978","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92978","description":"ENDOLUMINAL CORONARY IVUS OCT I AND R INITIAL VESSEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69806","description":"ENDOLYMPHATIC SAC SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69806","description":"ENDOLYMPHATIC SAC SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC W/O SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69805","description":"ENDOLYMPHATIC SAC W/O SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOLYMPHATIC SAC W/O SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69805","description":"ENDOLYMPHATIC SAC W/O SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58353","description":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58353","description":"ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58110","description":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58110","description":"ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58100","description":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58100","description":"ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58356","description":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58356","description":"ENDOMETRIAL CRYOABLATION W/US  and  ENDOMETRIAL CR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYOCARDIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93505","description":"ENDOMYOCARDIAL BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOMYOCARDIAL BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93505","description":"ENDOMYOCARDIAL BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74328","description":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74328","description":"ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74329","description":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74329","description":"ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43273","description":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43273","description":"ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPIC PLANTAR FASCIOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29893","description":"ENDOSCOPIC PLANTAR FASCIOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44360","description":"ENDOSCOPY UPPER SMALL INTESTINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44360","description":"ENDOSCOPY UPPER SMALL INTESTINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44361","description":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44361","description":"ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36478","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36478","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36479","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36479","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36475","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36475","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36476","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36476","description":"ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND PLUS  VEINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENEMA TUBE W/WO ADAPTER ANY TYPE REPLAC ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4457","description":"ENEMA TUBE W/WO ADAPTER ANY TYPE REPLAC ONLY EA","negotiated_rates":[{"provider_references":[210414],"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":"ENLARGEMENT OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2625","description":"ENLARGEMENT OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENLARGEMENT OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2625","description":"ENLARGEMENT OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44121","description":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44121","description":"ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44125","description":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44125","description":"ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":738.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":738.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51960","description":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":872.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51960","description":"ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":872.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44130","description":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":826.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44130","description":"ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":826.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROLSS FRING INTSTINAL ADHESION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44005","description":"ENTEROLSS FRING INTSTINAL ADHESION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROLSS FRING INTSTINAL ADHESION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44005","description":"ENTEROLSS FRING INTSTINAL ADHESION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY MULTIPLE PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44603","description":"ENTERORRHAPHY MULTIPLE PERFORATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1008.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY MULTIPLE PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44603","description":"ENTERORRHAPHY MULTIPLE PERFORATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1008.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY SINGLE PERFORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44602","description":"ENTERORRHAPHY SINGLE PERFORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTERORRHAPHY SINGLE PERFORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44602","description":"ENTERORRHAPHY SINGLE PERFORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44377","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44377","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44376","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44376","description":"ENTEROSC  GT 2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44369","description":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44369","description":"ENTEROSCOPY  GT  2ND PRTN ABLTJ LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44373","description":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44373","description":"ENTEROSCOPY  GT  2ND PRTN CONV GSTRST TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44378","description":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44378","description":"ENTEROSCOPY  GT  2ND PRTN ILEUM CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44370","description":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44370","description":"ENTEROSCOPY  GT  2ND PRTN TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44366","description":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44366","description":"ENTEROSCOPY  GT  2ND PRTN W/CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44379","description":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44379","description":"ENTEROSCOPY  GT  2ND PRTN W/ILEUM W/STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44372","description":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44372","description":"ENTEROSCOPY  GT  2ND PRTN W/PLMT PRQ TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44363","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44363","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44365","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44365","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION CAUTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44364","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44364","description":"ENTEROSCOPY  GT  2ND PRTN W/RMVL LESION SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44021","description":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44021","description":"ENTEROTOMY SM INT OTH/THN DUO DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44020","description":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44020","description":"ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44128","description":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44128","description":"ENTRC RESCJ ATRESIA EA RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44127","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1775.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1775.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44127","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST SGM W/TAPRING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1775.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1775.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44126","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1540.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44126","description":"ENTRC RESCJ ATRESIA RESCJ  and  ANAST W/O TAPRING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1540.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1540.583,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44120","description":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44120","description":"ENTRC RESCJ SMALL INTESTINE 1 RESCJ  AND  ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93642","description":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93642","description":"EP EVAL 1/2 CHMB TRANSVNS PAC CVDFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93641","description":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93641","description":"EP EVAL 1/2CHMB PACG CVDFB LDS TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93640","description":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93640","description":"EP EVAL 1/2CHMBR PACG CVDFB LEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15111","description":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15111","description":"EPDRM AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93640","description":"EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93641","description":"EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93642","description":"EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15115","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT 1ST 100 SQCM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15116","description":"EPIDERMAL AGRFT F/S/N/H/F/G/M/DGT EA 100 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15110","description":"EPIDRM AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIDRM AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15111","description":"EPIDRM AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIGLOTTIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31420","description":"EPIGLOTTIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25455","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25455","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25450","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27185","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27185","description":"EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59300","description":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59300","description":"EPISIOTOMY/VAG RPR OTH/THN ATTENDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.706,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43265","description":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43265","description":"ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43260","description":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43260","description":"ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43264","description":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43264","description":"ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43261","description":"ERCP W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43261","description":"ERCP W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43263","description":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43263","description":"ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43262","description":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43262","description":"ERCP W/SPHINCTEROTOMY/PAPILLOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ERGONOVINE PROVOCATION TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93024","description":"ERGONOVINE PROVOCATION TST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY EACH ADDITIONAL INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16036","description":"ESCHAROTOMY EACH ADDITIONAL INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY EACH ADDITIONAL INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16036","description":"ESCHAROTOMY EACH ADDITIONAL INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY FIRST INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16035","description":"ESCHAROTOMY FIRST INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY INITIAL INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16035","description":"ESCHAROTOMY INITIAL INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESCHAROTOMY INITIAL INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16035","description":"ESCHAROTOMY INITIAL INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43325","description":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":852.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43325","description":"ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":852.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":852.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43327","description":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43327","description":"ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43328","description":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":781.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":781.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":854.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":854.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":916.1867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":916.1867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43328","description":"ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":781.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":781.9819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":854.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":854.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":916.1867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":916.1867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43460","description":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43460","description":"ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78258","description":"ESOPHAGEAL MOTILITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78258","description":"ESOPHAGEAL MOTILITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91013","description":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91013","description":"ESOPHAGEAL MOTILITY STD W/I and R STIM/PERFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91010","description":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91010","description":"ESOPHAGEAL MOTILITY STUDY W/INTERP and RPT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43236","description":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43236","description":"ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43235","description":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43235","description":"ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43237","description":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43237","description":"ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43340","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":865.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43340","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":865.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43341","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":865.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43341","description":"ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":865.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43330","description":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43330","description":"ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43331","description":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43331","description":"ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43220","description":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43220","description":"ESOPHAGOSCOPY FLEX BALLOON DILAT  LT 30 MM DIAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43204","description":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43204","description":"ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43217","description":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43217","description":"ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43226","description":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43226","description":"ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43215","description":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43215","description":"ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43200","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43200","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43231","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43231","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43201","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43201","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43202","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43202","description":"ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43227","description":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43227","description":"ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43232","description":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43232","description":"ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43352","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43352","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43351","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43351","description":"ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43020","description":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43020","description":"ESOPHAGOTOMY CERVICAL APPR W/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43045","description":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":810.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43045","description":"ESOPHAGOTOMY THORACIC APPR W/RMVL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":810.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":810.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91030","description":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91030","description":"ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43338","description":"ESOPHAGUS LENGTHENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHAGUS LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43338","description":"ESOPHAGUS LENGTHENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91040","description":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91040","description":"ESOPHGL BALO DISTENSION DX STD W/PROVOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91038","description":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91038","description":"ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93616","description":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93616","description":"ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93615","description":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93615","description":"ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43216","description":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43216","description":"ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43205","description":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43205","description":"ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43313","description":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1817.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1817.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43313","description":"ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1817.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1817.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43314","description":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1938.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1938.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43314","description":"ESPHGP CGEN DFCT THRC APPR W/RPR FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1938.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1938.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43300","description":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43300","description":"ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43305","description":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43305","description":"ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43310","description":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":911.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43310","description":"ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":911.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43312","description":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":968.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43312","description":"ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":968.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90967","description":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90967","description":"ESRD RELATED SVC  LT FULL MONTH  LT 2 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90969","description":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90969","description":"ESRD RELATED SVC  LT FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90968","description":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90968","description":"ESRD RELATED SVC  LT FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90970","description":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90970","description":"ESRD RELATED SVC  LT FULL MONTH 20 OR GT YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90951","description":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90951","description":"ESRD RELATED SVC MONTHLY  and   LT 2 YR OLD 4 OR GT  VISIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90959","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90958","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90957","description":"ESRD RELATED SVC MONTHLY 12-19 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90956","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90955","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90954","description":"ESRD RELATED SVC MONTHLY 2-11 YR OLD 4 OR GT  VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90961","description":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90961","description":"ESRD RELATED SVC MONTHLY 20 OR GT YR OLD 2/3 VISITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90960","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90960","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT  YR OLD 4 OR GT  VI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90962","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90962","description":"ESRD RELATED SVC MONTHLY 20 and  OR GT YR OLD 1 VISIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90963","description":"ESRD SVC HOME DIALYSIS FULL MONTH  LT 2YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90965","description":"ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90964","description":"ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90966","description":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90966","description":"ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":189.7171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.3548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":234.0735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.1899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.1899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":253.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":253.8468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":269.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":269.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":277.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":277.3611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":310.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":310.1274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY EXTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31205","description":"ETHMOIDECTOMY EXTRANASAL TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":609.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY EXTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31205","description":"ETHMOIDECTOMY EXTRANASAL TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":609.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31200","description":"ETHMOIDECTOMY INTRANASAL ANTERIOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31200","description":"ETHMOIDECTOMY INTRANASAL ANTERIOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31201","description":"ETHMOIDECTOMY INTRANASAL TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETHMOIDECTOMY INTRANASAL TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31201","description":"ETHMOIDECTOMY INTRANASAL TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.548,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1336.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7307","description":"ETONOGESTREL CNTRACPT IMPL SYS INCL IMPL  AND  SPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1336.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETOPOSIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J8560","description":"ETOPOSIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ETOPOSIDE ORAL 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8560","description":"ETOPOSIDE ORAL 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EUGLOBULIN LYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85360","description":"EUGLOBULIN LYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EUGLOBULIN LYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85360","description":"EUGLOBULIN LYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVACUATION SUBUNGUAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11740","description":"EVACUATION SUBUNGUAL HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92626","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92626","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92627","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92627","description":"EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92620","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92620","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92621","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92621","description":"EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92610","description":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92610","description":"EVAL ORAL AND PHARYNGEAL SWLNG FUNCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.715,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92523","description":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92523","description":"EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92597","description":"EVAL and /FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92522","description":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92522","description":"EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34808","description":"EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33880","description":"EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1073.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33881","description":"EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33881","description":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33881","description":"EVASC RPR TA DPLMNT AORT-ARTC TUB NDGFT XCOV LSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":922.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":922.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33880","description":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1073.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33880","description":"EVASC RPR TA DPLMNT AORT-ARTC TUBE NDGFT COV LSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1073.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61623","description":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61623","description":"EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92558","description":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92558","description":"EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26113","description":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26113","description":"EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26111","description":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26111","description":"EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44111","description":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44111","description":"EXC 1 OR GT  SM/LG LESIONS INTESTNE MULT ENTEROTOMIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44110","description":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44110","description":"EXC 1 OR GT  SMALL/LARGE LESIONS INTESTINE ENTEROTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27067","description":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27067","description":"EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.24,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.236,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.236,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11426","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G  GT  4.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11420","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11421","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11422","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11423","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11424","description":"EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11406","description":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11406","description":"EXC B9 LESION MRGN XCP SK TG T/A/L  GT 4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11400","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11400","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11401","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11401","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11402","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11402","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11403","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11403","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11404","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11404","description":"EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21049","description":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21049","description":"EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT and PRTL MAXLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21047","description":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":778.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21047","description":"EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT and PRTL MNDB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":778.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BARTHOLINS GLAND/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56740","description":"EXC BARTHOLINS GLAND/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61563","description":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1250.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61563","description":"EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1250.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61564","description":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1516.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61564","description":"EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1516.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21048","description":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21048","description":"EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21030","description":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21030","description":"EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL  and  CURTG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21046","description":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21046","description":"EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47712","description":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1245.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1245.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47712","description":"EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1245.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1245.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47711","description":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":973.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47711","description":"EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":973.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42815","description":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42815","description":"EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS and /PHRYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42810","description":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42810","description":"EXC BRANCHIAL CLEFT CYST CONFINED SKN AND SUBQ TIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19125","description":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19125","description":"EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19126","description":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19126","description":"EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60605","description":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":991.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60605","description":"EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":991.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60600","description":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60600","description":"EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57545","description":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57545","description":"EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33851","description":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33851","description":"EXC COA W/WO PDA RPR L SUBCLA ART/PROSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33851","description":"EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33840","description":"EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15922","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15922","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15920","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15920","description":"EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26596","description":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26596","description":"EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57555","description":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57555","description":"EXC CRV STUMP VAG APPR W/ANT  and /POST REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57556","description":"EXC CRV STUMP VAG APPR W/RPR NTRCL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CRV STUMP VAG APPR W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57556","description":"EXC CRV STUMP VAG APPR W/RPR NTRCL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38555","description":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38555","description":"EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38550","description":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38550","description":"EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19120","description":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19120","description":"EXC CYST/ABERRANT BREAST TISSUE OPEN 1 OR GT  LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60200","description":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60200","description":"EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30125","description":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30125","description":"EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15830","description":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":753.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15830","description":"EXC EXCSV SKN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":753.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41822","description":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41822","description":"EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26390","description":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26390","description":"EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FRENUM LABIAL/BUCCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40819","description":"EXC FRENUM LABIAL/BUCCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC FRENUM LABIAL/BUCCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40819","description":"EXC FRENUM LABIAL/BUCCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41828","description":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41828","description":"EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ILEOANAL RSVR W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45136","description":"EXC ILEOANAL RSVR W/ILEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1121.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ILEOANAL RSVR W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45136","description":"EXC ILEOANAL RSVR W/ILEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1121.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1121.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33120","description":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1273.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33120","description":"EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1273.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15941","description":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15941","description":"EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15945","description":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15945","description":"EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15946","description":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15946","description":"EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15940","description":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15940","description":"EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15944","description":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":604.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15944","description":"EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":604.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40810","description":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40810","description":"EXC LES MUCOSA  and  SBMCSL VESTIBULE MOUTH W/O RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43101","description":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43101","description":"EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43100","description":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43100","description":"EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40814","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40814","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE CPLX RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40812","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40812","description":"EXC LESION MUCOSA  AND  SBMCSL VESTIBULE SMPL RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40816","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40816","description":"EXC LESION MUCOSA AND SBMCSL VESTIBULE CPLX EXC MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42107","description":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42107","description":"EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42104","description":"EXC LESION PALATE UVULA W/O CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42104","description":"EXC LESION PALATE UVULA W/O CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42106","description":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42106","description":"EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26160","description":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26160","description":"EXC LESION TDN SHTH/JT CAPSL HAND/FNGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28090","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28092","description":"EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41112","description":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41112","description":"EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41113","description":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41113","description":"EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41114","description":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41114","description":"EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41827","description":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41827","description":"EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41825","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41825","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41826","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41826","description":"EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40527","description":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40527","description":"EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40525","description":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40525","description":"EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40510","description":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40510","description":"EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40520","description":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40520","description":"EXC LIP V-EXC W/PRIM DIR LINR CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL MALIGNANT TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43611","description":"EXC LOCAL MALIGNANT TUMOR STOMACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":772.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL MALIGNANT TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43611","description":"EXC LOCAL MALIGNANT TUMOR STOMACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":772.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43610","description":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43610","description":"EXC LOCAL ULCER/BENIGN TUMOR STOMACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44800","description":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44800","description":"EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40818","description":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40818","description":"EXC MUCOSA VESTIBULE MOUTH AS DON GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64788","description":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64788","description":"EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64792","description":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64792","description":"EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64790","description":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64790","description":"EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64774","description":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64774","description":"EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64776","description":"EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64783","description":"EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64782","description":"EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64784","description":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64784","description":"EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41823","description":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41823","description":"EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRESAC/SACROCOCCYGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49215","description":"EXC PRESAC/SACROCOCCYGEAL TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1387.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRESAC/SACROCOCCYGEAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49215","description":"EXC PRESAC/SACROCOCCYGEAL TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1387.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1387.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42415","description":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":677.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42415","description":"EXC PRTD TUM/PRTD GLND LAT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":677.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42410","description":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42410","description":"EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42420","description":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":757.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42420","description":"EXC PRTD TUM/PRTD GLND TOT DSJ and PRSRV FACIAL NR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":757.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42426","description":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":858.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42426","description":"EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":858.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45135","description":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45135","description":"EXC RCT PROCIDENTIA W/ANAST ABDL  and  PRNL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45130","description":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45130","description":"EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45172","description":"EXC RCT TUM INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45172","description":"EXC RCT TUM INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45171","description":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":431.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":431.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":474.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":474.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":575.3639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":575.3639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":638.0574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":638.0574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":703.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":703.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45171","description":"EXC RCT TUM NOT INCL MUSCULARIS PROPRIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":431.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":431.3058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":474.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":474.6268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":524.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":524.5945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":575.3639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":575.3639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":638.0574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":638.0574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":703.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":703.9908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45160","description":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45160","description":"EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15936","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15936","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15937","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15937","description":"EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15935","description":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15935","description":"EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15933","description":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15933","description":"EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SUBLINGUAL SALIVARY CYST RANULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42408","description":"EXC SUBLINGUAL SALIVARY CYST RANULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC SUBLINGUAL SALIVARY CYST RANULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42408","description":"EXC SUBLINGUAL SALIVARY CYST RANULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC THROMBOSED HEMORRHOID XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46320","description":"EXC THROMBOSED HEMORRHOID XTRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC THROMBOSED HEMORRHOID XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46320","description":"EXC THROMBOSED HEMORRHOID XTRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31781","description":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":911.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31781","description":"EXC TRACHEAL STENOSIS AND ANAST CERVICOTHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":911.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15958","description":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15958","description":"EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15953","description":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15953","description":"EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15951","description":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15951","description":"EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15956","description":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15956","description":"EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15952","description":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15952","description":"EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15950","description":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15950","description":"EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26116","description":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26116","description":"EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC LT 1.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26115","description":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26115","description":"EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25073","description":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25073","description":"EXC TUMOR SFT TISS FOREARM and /WRIST SUBFASC 3CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21552","description":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21552","description":"EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21932","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":497.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":497.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.0592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.0592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21932","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":497.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":497.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.0592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.0592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21933","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21933","description":"EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21013","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":395.2328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":395.2328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.9566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.9566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.1277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.1277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.4526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.4526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":520.8202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":520.8202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":581.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":581.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":653.4552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":653.4552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21013","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL  LT 2CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":395.2328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":395.2328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.9566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.9566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.1277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.1277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.4526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.4526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":520.8202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":520.8202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":581.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":581.4763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":653.4552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":653.4552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21014","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21014","description":"EXC TUMOR SOFT TISS FACE and SCALP SUBFASCIAL 2 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25071","description":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":335.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":335.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":366.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":366.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.8482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.8482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25071","description":"EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":335.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":335.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":366.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":366.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.8482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.8482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25076","description":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25076","description":"EXC TUMOR SOFT TISS FOREARM and /WRIST SUBFASC  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21556","description":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21556","description":"EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23076","description":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23076","description":"EXC TUMOR SOFT TISS SHOULDER SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24075","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24075","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24073","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":532.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":532.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":581.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":581.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24073","description":"EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":532.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":532.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":581.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":581.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24076","description":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24076","description":"EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22900","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22900","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22901","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22901","description":"EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22902","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22902","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22903","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22903","description":"EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28045","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC  LT 1.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28041","description":"EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25075","description":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25075","description":"EXC TUMOR SOFT TISSUE FOREARM  and /WRIST SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":403.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":403.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":477.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":477.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":497.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":497.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.0592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.0592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27634","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":403.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":403.2491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":438.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":438.1196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":452.4486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":477.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":477.6997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":497.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":497.3728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.0592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.0592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":580.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":635.3853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":692.1669,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27619","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27618","description":"EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21555","description":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21555","description":"EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21554","description":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21554","description":"EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27048","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27048","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27045","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":614.1089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":614.1089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":669.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":669.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27045","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBFASC 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.0477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":463.5377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":504.9882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":614.1089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":614.1089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":669.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":669.2204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.2378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27047","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27047","description":"EXC TUMOR SOFT TISSUE PELVIS  and  HIP SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23073","description":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23073","description":"EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27328","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27328","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27339","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":545.9711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":545.9711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":660.6364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":660.6364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":729.8097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":729.8097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":795.5092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":795.5092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27339","description":"EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.7765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.7088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":516.5783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":545.9711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":545.9711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":566.3791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":660.6364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":660.6364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":729.8097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":729.8097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":795.5092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":795.5092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24071","description":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24071","description":"EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51500","description":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51500","description":"EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53230","description":"EXC URETHRAL DIVERTICULUM SPX FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53230","description":"EXC URETHRAL DIVERTICULUM SPX FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53235","description":"EXC URETHRAL DIVERTICULUM SPX MALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC URETHRAL DIVERTICULUM SPX MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53235","description":"EXC URETHRAL DIVERTICULUM SPX MALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26415","description":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26415","description":"EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26205","description":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26205","description":"EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26215","description":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26215","description":"EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28103","description":"EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27637","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27637","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27638","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27638","description":"EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23145","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23145","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23146","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23146","description":"EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24125","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24125","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24126","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24126","description":"EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28104","description":"EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24116","description":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24116","description":"EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23155","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23155","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23156","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23156","description":"EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23140","description":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23140","description":"EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24120","description":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24120","description":"EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24115","description":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24115","description":"EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23150","description":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23150","description":"EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28108","description":"EXC/CURTG CST/B9 TUM PHALANGES FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28102","description":"EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28107","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28106","description":"EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25136","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25136","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25135","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25135","description":"EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25126","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25126","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25125","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25125","description":"EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":392.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":392.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42870","description":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42870","description":"EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION CARCINOMA URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53220","description":"EXC/FULGURATION CARCINOMA URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION CARCINOMA URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53220","description":"EXC/FULGURATION CARCINOMA URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL CARUNCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53265","description":"EXC/FULGURATION URETHRAL CARUNCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL CARUNCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53265","description":"EXC/FULGURATION URETHRAL CARUNCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53260","description":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53260","description":"EXC/FULGURATION URETHRAL POLYP DSTL URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49423","description":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49423","description":"EXCHNG ABSC/CST DRG CATH RAD GID SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36450","description":"EXCHNG TRANSFUSION BLOOD NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36455","description":"EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96922","description":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96922","description":"EXCIMER LASER TX PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96921","description":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96921","description":"EXCIMER LASER TX PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96920","description":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96920","description":"EXCIMER LASER TX PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21615","description":"EXCISION 1ST  and /CERVICAL RIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21615","description":"EXCISION 1ST  and /CERVICAL RIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21616","description":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21616","description":"EXCISION 1ST  and /CERVICAL RIB W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AMPULLA VATER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48148","description":"EXCISION AMPULLA VATER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AMPULLA VATER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48148","description":"EXCISION AMPULLA VATER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR EXTENDED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69554","description":"EXCISION AURAL GLOMUS TUMOR EXTENDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1620.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1620.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR EXTENDED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69554","description":"EXCISION AURAL GLOMUS TUMOR EXTENDED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1620.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1620.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69550","description":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69550","description":"EXCISION AURAL GLOMUS TUMOR TRANSCANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69552","description":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69552","description":"EXCISION AURAL GLOMUS TUMOR TRANSMASTOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL POLYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69540","description":"EXCISION AURAL POLYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION AURAL POLYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69540","description":"EXCISION AURAL POLYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BARTHOLINS GLAND OR CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56740","description":"EXCISION BARTHOLINS GLAND OR CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BARTHOLINS GLAND OR CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56740","description":"EXCISION BARTHOLINS GLAND OR CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21040","description":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21040","description":"EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL  and  CURT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BENIGN TUMOR DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27066","description":"EXCISION BONE CYST/BENIGN TUMOR DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BENIGN TUMOR DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27066","description":"EXCISION BONE CYST/BENIGN TUMOR DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27065","description":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27065","description":"EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21025","description":"EXCISION BONE MANDIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21025","description":"EXCISION BONE MANDIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57540","description":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57540","description":"EXCISION CERVICAL STUMP ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57550","description":"EXCISION CERVICAL STUMP VAGINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CERVICAL STUMP VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57550","description":"EXCISION CERVICAL STUMP VAGINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHOLEDOCHAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47715","description":"EXCISION CHOLEDOCHAL CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":836.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION CHOLEDOCHAL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47715","description":"EXCISION CHOLEDOCHAL CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":836.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":836.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33840","description":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33840","description":"EXCISION COA W/WO PDA W/DIRECT ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33845","description":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":825.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33845","description":"EXCISION COARCTATION AORTA W/WO PDA W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":825.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30124","description":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30124","description":"EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25240","description":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25240","description":"EXCISION DISTAL ULNA PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EPIPHYSEAL BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20150","description":"EXCISION EPIPHYSEAL BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EPIPHYSEAL BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20150","description":"EXCISION EPIPHYSEAL BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15847","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE OTHER AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15839","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE OTHER AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE OTHER AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15839","description":"EXCISION EXCESSIVE SKIN  AND  SUBQ TISSUE OTHER AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69140","description":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69140","description":"EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69120","description":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69120","description":"EXCISION EXTERNAL EAR COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69110","description":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69110","description":"EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21026","description":"EXCISION FACIAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21026","description":"EXCISION FACIAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25111","description":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25111","description":"EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25112","description":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25112","description":"EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11471","description":"EXCISION H/P/P/U COMPLEX REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11471","description":"EXCISION H/P/P/U COMPLEX REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11470","description":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11470","description":"EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11451","description":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11451","description":"EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11450","description":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11450","description":"EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11463","description":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11463","description":"EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11462","description":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11462","description":"EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35907","description":"EXCISION INFECTED GRAFT ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1148.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35907","description":"EXCISION INFECTED GRAFT ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1148.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1148.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35903","description":"EXCISION INFECTED GRAFT EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35903","description":"EXCISION INFECTED GRAFT EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35905","description":"EXCISION INFECTED GRAFT THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1008.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED GRAFT THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35905","description":"EXCISION INFECTED GRAFT THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1008.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1008.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED NECK GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35901","description":"EXCISION INFECTED NECK GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFECTED NECK GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35901","description":"EXCISION INFECTED NECK GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30130","description":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30130","description":"EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28080","description":"EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION ISCHIAL BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27060","description":"EXCISION ISCHIAL BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION ISCHIAL BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27060","description":"EXCISION ISCHIAL BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACTIFEROUS DUCT FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19112","description":"EXCISION LACTIFEROUS DUCT FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LACTIFEROUS DUCT FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19112","description":"EXCISION LACTIFEROUS DUCT FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41116","description":"EXCISION LESION FLOOR MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION FLOOR MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41116","description":"EXCISION LESION FLOOR MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MENISCUS/CAPSULE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27347","description":"EXCISION LESION MENISCUS/CAPSULE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MENISCUS/CAPSULE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27347","description":"EXCISION LESION MENISCUS/CAPSULE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44820","description":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44820","description":"EXCISION LESION MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION PANCREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48120","description":"EXCISION LESION PANCREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION PANCREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48120","description":"EXCISION LESION PANCREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25110","description":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25110","description":"EXCISION LESION TENDON SHEATH FOREARM and /WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27630","description":"EXCISION LESION TENDON SHEATH/CAPSULE LEG and /ANK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TONGUE W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41110","description":"EXCISION LESION TONGUE W/O CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LESION TONGUE W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41110","description":"EXCISION LESION TONGUE W/O CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LINGUAL FRENUM FRENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41115","description":"EXCISION LINGUAL FRENUM FRENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION LINGUAL FRENUM FRENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41115","description":"EXCISION LINGUAL FRENUM FRENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11600","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11600","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11601","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11601","description":"EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11602","description":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11602","description":"EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11603","description":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11603","description":"EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11604","description":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11604","description":"EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.468,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.468,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.768,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.768,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.065,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11626","description":"EXCISION MALIGNANT LESION S/N/H/F/G  GT 4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11620","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11621","description":"EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11622","description":"EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11623","description":"EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11624","description":"EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11606","description":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11606","description":"EXCISION MALIGNANT LESION TRUNK/ARM/LEG  GT  4.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21044","description":"EXCISION MALIGNANT TUMOR MANDIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21044","description":"EXCISION MALIGNANT TUMOR MANDIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21045","description":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21045","description":"EXCISION MALIGNANT TUMOR MANDIBLE RADICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21034","description":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":835.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21034","description":"EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":835.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":835.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAXILLARY TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21032","description":"EXCISION MAXILLARY TORUS PALATINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MAXILLARY TORUS PALATINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21032","description":"EXCISION MAXILLARY TORUS PALATINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46230","description":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46230","description":"EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL MATRIX PERMANENT REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL MATRIX PERMANENT REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11750","description":"EXCISION NAIL and NAIL MATRIX PRTL/COMPL PERM RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30115","description":"EXCISION NASAL POLYP EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30115","description":"EXCISION NASAL POLYP EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30110","description":"EXCISION NASAL POLYP SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NASAL POLYP SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30110","description":"EXCISION NASAL POLYP SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64778","description":"EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64786","description":"EXCISION NEUROMA SCIATIC NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION NEUROMA SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64786","description":"EXCISION NEUROMA SCIATIC NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BULBOURETHRAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53250","description":"EXCISION OF BULBOURETHRAL GLAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OF BULBOURETHRAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53250","description":"EXCISION OF BULBOURETHRAL GLAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OLECRANON BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24105","description":"EXCISION OLECRANON BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OLECRANON BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24105","description":"EXCISION OLECRANON BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OR FULGURATION SKENES GLANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53270","description":"EXCISION OR FULGURATION SKENES GLANDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION OR FULGURATION SKENES GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53270","description":"EXCISION OR FULGURATION SKENES GLANDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42425","description":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42425","description":"EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PERINEPHRIC CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50290","description":"EXCISION PERINEPHRIC CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PERINEPHRIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50290","description":"EXCISION PERINEPHRIC CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":569.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":569.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11772","description":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11772","description":"EXCISION PILONIDAL CYST/SINUS COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11771","description":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11771","description":"EXCISION PILONIDAL CYST/SINUS EXTENSIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11770","description":"EXCISION PILONIDAL CYST/SINUS SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PILONIDAL CYST/SINUS SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11770","description":"EXCISION PILONIDAL CYST/SINUS SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PREPATELLAR BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27340","description":"EXCISION PREPATELLAR BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION PREPATELLAR BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27340","description":"EXCISION PREPATELLAR BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24130","description":"EXCISION RADIAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24130","description":"EXCISION RADIAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RIB PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21600","description":"EXCISION RIB PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION RIB PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21600","description":"EXCISION RIB PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15931","description":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15931","description":"EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15934","description":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15934","description":"EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46220","description":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46220","description":"EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15830","description":"EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":753.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":753.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69145","description":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69145","description":"EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42440","description":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42440","description":"EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27345","description":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27345","description":"EXCISION SYNOVIAL CYST POPLITEAL SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26180","description":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26180","description":"EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26170","description":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26170","description":"EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60280","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60280","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60281","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60281","description":"EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TONSIL TAGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42860","description":"EXCISION TONSIL TAGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TONSIL TAGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42860","description":"EXCISION TONSIL TAGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21031","description":"EXCISION TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TORUS MANDIBULARIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21031","description":"EXCISION TORUS MANDIBULARIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31780","description":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31780","description":"EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS CERVICA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31785","description":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31785","description":"EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31786","description":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":885.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31786","description":"EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":885.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":885.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27062","description":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27062","description":"EXCISION TROCHANTERIC BURSA/CALCIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21931","description":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21931","description":"EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":317.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":317.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":348.7054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":348.7054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.1812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.1812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.1641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.1641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28039","description":"EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":317.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":317.9766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.3673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":348.7054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":348.7054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":381.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":381.5385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.1812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.1812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.1641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.1641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21011","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21011","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ  LT 2CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21012","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21012","description":"EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21930","description":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21930","description":"EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28043","description":"EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ  LT 1.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":335.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":335.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":366.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":366.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.8482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.8482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27632","description":"EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":305.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":305.7184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":335.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":335.2782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":366.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":366.5749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.8482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.8482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.2845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":442.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":442.6287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27043","description":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27043","description":"EXCISION TUMOR SOFT TISSUE PELVIS and HIP SUBQ 3CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23075","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23075","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23071","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23071","description":"EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27327","description":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27327","description":"EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57135","description":"EXCISION VAGINAL CYST/TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57135","description":"EXCISION VAGINAL CYST/TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57130","description":"EXCISION VAGINAL SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION VAGINAL SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57130","description":"EXCISION VAGINAL SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27635","description":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27635","description":"EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25130","description":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25130","description":"EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27355","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27355","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27358","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27358","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27356","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27356","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27357","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27357","description":"EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26200","description":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26200","description":"EXCISION/CURETTAGE CYST/TUMOR METACARPAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26210","description":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26210","description":"EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25120","description":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25120","description":"EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28100","description":"EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24110","description":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24110","description":"EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30117","description":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30117","description":"EXCISION/DESTRUCTION INTRANASAL LESION INT APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30118","description":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30118","description":"EXCISION/DESTRUCTION INTRANASAL LESION XTRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42808","description":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42808","description":"EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/FULGURATION URETHRAL PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53275","description":"EXCISION/FULGURATION URETHRAL PROLAPSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/FULGURATION URETHRAL PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53275","description":"EXCISION/FULGURATION URETHRAL PROLAPSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30120","description":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30120","description":"EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/UNROOFING CYST KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50280","description":"EXCISION/UNROOFING CYST KIDNEY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISION/UNROOFING CYST KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50280","description":"EXCISION/UNROOFING CYST KIDNEY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27337","description":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27337","description":"EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44700","description":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44700","description":"EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7045","description":"EXHALATION PORT W/WO SWIVEL REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXISION OF SUBLINGUAL GLAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42450","description":"EXISION OF SUBLINGUAL GLAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXISION OF SUBLINGUAL GLAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42450","description":"EXISION OF SUBLINGUAL GLAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81415","description":"EXOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1054.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81415","description":"EXOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1054.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81416","description":"EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1054.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81416","description":"EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1054.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1054.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL CONGENITAL ATRESIA BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47700","description":"EXPL CONGENITAL ATRESIA BILE DUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL CONGENITAL ATRESIA BILE DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47700","description":"EXPL CONGENITAL ATRESIA BILE DUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61333","description":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1270.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61333","description":"EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1270.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1270.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20102","description":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20102","description":"EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35840","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35840","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35820","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1229.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35820","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ CH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1229.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.503,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35800","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35800","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35860","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35860","description":"EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RETROPERITONEUM W/WO BX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49010","description":"EXPL RETROPERITONEUM W/WO BX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RETROPERITONEUM W/WO BX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49010","description":"EXPL RETROPERITONEUM W/WO BX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45562","description":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45562","description":"EXPL RPR  AND  PRESACRAL DRG RECTAL INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45563","description":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1042.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45563","description":"EXPL RPR  and  PRESACRAL DRG RECTAL INJ W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1042.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1042.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25248","description":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25248","description":"EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54865","description":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54865","description":"EXPLORATION EPIDIDYMIS W/WO BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG NECK ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35701","description":"EXPLORATION N/FLWD SURG NECK ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG NECK ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35701","description":"EXPLORATION N/FLWD SURG NECK ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35702","description":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35702","description":"EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":252.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20101","description":"EXPLORATION PENETRATING WOUND SPX CHEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20101","description":"EXPLORATION PENETRATING WOUND SPX CHEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20103","description":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20103","description":"EXPLORATION PENETRATING WOUND SPX EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20100","description":"EXPLORATION PENETRATING WOUND SPX NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION PENETRATING WOUND SPX NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20100","description":"EXPLORATION PENETRATING WOUND SPX NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION SPINAL FUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22830","description":"EXPLORATION SPINAL FUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATION SPINAL FUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22830","description":"EXPLORATION SPINAL FUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49000","description":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49000","description":"EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8015","description":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8015","description":"EXT BRST PROS GARMNT W/MASTECT FORM POST-MASTECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4331","description":"EXT DRN TUBING W/CNCTOR/ADAPTR FOR LEG BAG EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59412","description":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59412","description":"EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48510","description":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":692.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48510","description":"EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":692.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93242","description":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93242","description":"EXTERNAL ECG REC GT 48HR LT 7D RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93243","description":"EXTERNAL ECG REC GT 48HR LT 7D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93246","description":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93246","description":"EXTERNAL ECG REC GT 7D LT 15D RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93247","description":"EXTERNAL ECG REC GT 7D LT 15D SCANNING ALYS W/REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL ECG SCANNING ANALYSIS REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93226","description":"EXTERNAL ECG SCANNING ANALYSIS REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4356","description":"EXTERNAL URETHRAL CLAMP/COMPRESSION DEVICE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0424","description":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0424","description":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A0424","description":"EXTRA AMBULANCE ATTENDANT GROUND OR AIR ;","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86235","description":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86235","description":"EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32540","description":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1060.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32540","description":"EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1060.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1060.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTREMITY BELT/HARNESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0945","description":"EXTREMITY BELT/HARNESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EXTREMITY BELT/HARNESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0945","description":"EXTREMITY BELT/HARNESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.941,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"EYE GLASS CASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2756","description":"EYE GLASS CASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrolyte panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80051","description":"Electrolyte panel","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Euglobulin lysis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85360","description":"Euglobulin lysis","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93304","description":"F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F2 GENE ANALYSIS 20210G  GT A VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81240","description":"F2 GENE ANALYSIS 20210G  GT A VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F2 GENE ANALYSIS 20210G  GT A VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81240","description":"F2 GENE ANALYSIS 20210G  GT A VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.805,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81241","description":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81241","description":"F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.57,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.57,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F9 FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81238","description":"F9 FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":528.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"F9 FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81238","description":"F9 FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":528.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":528.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION AND FITTING OF OCULAR CONFORMER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2628","description":"FABRICATION AND FITTING OF OCULAR CONFORMER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FABRICATION AND FITTING OF OCULAR CONFORMER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2628","description":"FABRICATION AND FITTING OF OCULAR CONFORMER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7031","description":"FACE MASK INTERFACE REPLCMT FULL FACE MASK EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4619","description":"FACE TENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACE TENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4619","description":"FACE TENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL NERVE FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92516","description":"FACIAL NERVE FUNCTION STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACIAL NERVE FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92516","description":"FACIAL NERVE FUNCTION STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR INHIBITOR TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85335","description":"FACTOR INHIBITOR TEST","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR INHIBITOR TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85335","description":"FACTOR INHIBITOR TEST","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7193","description":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7193","description":"FACTOR IX AHF PURIFIED NON-RECOMBINANT PER IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.474,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX COMPLEX PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7194","description":"FACTOR IX COMPLEX PER IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR IX COMPLEX PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7194","description":"FACTOR IX COMPLEX PER IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7189","description":"FACTOR VIIA 1 MICROGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7189","description":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7189","description":"FACTOR VIIA ANTIHEMOPHILIC FCT NOVOSEVEN RT1 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7190","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7190","description":"FACTOR VIII ANTIHEMOPHILIC FACTOR HUMAN PER IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.265,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.265,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7192","description":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7192","description":"FACTOR VIII PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97156","description":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97156","description":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90846","description":"FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90847","description":"FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FANCC GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81242","description":"FANCC GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FANCC GENE ANALYSIS COMMON VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81242","description":"FANCC GENE ANALYSIS COMMON VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.23,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT BY STRIPPER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20920","description":"FASCIA LATA GRAFT BY STRIPPER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT BY STRIPPER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20920","description":"FASCIA LATA GRAFT BY STRIPPER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20922","description":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20922","description":"FASCIA LATA GRAFT INCISION  AND  AREA EXPOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28060","description":"FASCIECTOMY PLANTAR FASCIA PARTIAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28062","description":"FASCIECTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY FOOT and /TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28008","description":"FASCIOTOMY FOOT and /TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY HIP/THIGH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27025","description":"FASCIOTOMY HIP/THIGH ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY HIP/THIGH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27025","description":"FASCIOTOMY HIP/THIGH ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY ILIOTIBIAL OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27305","description":"FASCIOTOMY ILIOTIBIAL OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY ILIOTIBIAL OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27305","description":"FASCIOTOMY ILIOTIBIAL OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR OPEN PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26045","description":"FASCIOTOMY PALMAR OPEN PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR OPEN PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26045","description":"FASCIOTOMY PALMAR OPEN PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26040","description":"FASCIOTOMY PALMAR PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PALMAR PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26040","description":"FASCIOTOMY PALMAR PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28062","description":"FASCIOTOMY PLANTAR FASCIA RADICAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26121","description":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26121","description":"FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26123","description":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26123","description":"FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26125","description":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26125","description":"FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT DIFFIAL FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82715","description":"FAT DIFFIAL FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT DIFFIAL FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82715","description":"FAT DIFFIAL FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT STAIN FECES URINE/RESPIR SECRETIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89125","description":"FAT STAIN FECES URINE/RESPIR SECRETIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT STAIN FECES URINE/RESPIR SECRETIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89125","description":"FAT STAIN FECES URINE/RESPIR SECRETIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82705","description":"FAT/LIPIDS FECES QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82705","description":"FAT/LIPIDS FECES QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82710","description":"FAT/LIPIDS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FAT/LIPIDS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82710","description":"FAT/LIPIDS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FATTY ACIDS NONESTERIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82725","description":"FATTY ACIDS NONESTERIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FATTY ACIDS NONESTERIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82725","description":"FATTY ACIDS NONESTERIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85410","description":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85410","description":"FBRNLYC FACTORS AND INHIBITORS ALPHA-2 ANTIPLASMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85415","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85415","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG ACTIVATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85421","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85421","description":"FBRNLYC FACTORS AND INHIBITORS PLSMNG AGIC ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85420","description":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85420","description":"FBRNLYC FACTORS AND INHIBITRS PLSMNG XCPT AGIC ASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.742,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.298,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FEMALE EXT URINARY COLL CUP RING ATTACH PER DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4318","description":"FEMALE EXT URINARY COLL CUP RING ATTACH PER DAY","negotiated_rates":[{"provider_references":[210414],"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":"FEMALE EXT URINARY COLL CUP RING ATTACH PER DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4318","description":"FEMALE EXT URINARY COLL CUP RING ATTACH PER DAY","negotiated_rates":[{"provider_references":[210414],"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":"FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81507","description":"FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81507","description":"FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76818","description":"FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76819","description":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76819","description":"FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81420","description":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81420","description":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.964,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONTRACTION STRESS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59020","description":"FETAL CONTRACTION STRESS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL CONTRACTION STRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59020","description":"FETAL CONTRACTION STRESS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59074","description":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59074","description":"FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83663","description":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83663","description":"FETAL LUNG MATURITY FLUORESCENCE POLARIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FOAM STABILITY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83662","description":"FETAL LUNG MATURITY FOAM STABILITY TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY FOAM STABILITY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83662","description":"FETAL LUNG MATURITY FOAM STABILITY TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83664","description":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83664","description":"FETAL LUNG MATURITY LAMELLAR BODY DENSITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83661","description":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83661","description":"FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.349,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59050","description":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59050","description":"FETAL MONITORING LABOR PHYS WRITTEN REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59051","description":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59051","description":"FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL NONSTRESS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59025","description":"FETAL NONSTRESS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SCALP BLOOD SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59030","description":"FETAL SCALP BLOOD SAMPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SCALP BLOOD SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59030","description":"FETAL SCALP BLOOD SAMPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59076","description":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59076","description":"FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59072","description":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.4616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.4616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":451.1126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":451.1126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":479.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":479.4699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59072","description":"FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.4616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.4616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":451.1126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":451.1126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":479.4699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":479.4699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85378","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85378","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85379","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85379","description":"FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85380","description":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85380","description":"FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85370","description":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85370","description":"FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.952,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85362","description":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85362","description":"FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85366","description":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85366","description":"FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85384","description":"FIBRINOGEN ACTIVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ACTIVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85384","description":"FIBRINOGEN ACTIVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85385","description":"FIBRINOGEN ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOGEN ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85385","description":"FIBRINOGEN ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP and REPOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85390","description":"FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP and REPOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP and REPOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85390","description":"FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP and REPOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYTIC FACTORS  AND  INHIBITORS PLASMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85400","description":"FIBRINOLYTIC FACTORS  AND  INHIBITORS PLASMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIBRINOLYTIC FACTORS  AND  INHIBITORS PLASMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85400","description":"FIBRINOLYTIC FACTORS  AND  INHIBITORS PLASMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"14350","description":"FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7038","description":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7038","description":"FILTER DISPBL USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7039","description":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7039","description":"FILTER NON DISPBL USED W/POS ARWAY PRESS DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7014","description":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7014","description":"FILTER NON-DISPBL USED W/AROSL COMPRS/US GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIMBRIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58760","description":"FIMBRIOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":488.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":488.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":529.8719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":529.8719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":569.2181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":569.2181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":586.0522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":586.0522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":632.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":632.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":680.3429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":680.3429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10021","description":"FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3925","description":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3925","description":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3927","description":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3927","description":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q4049","description":"FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FINGER SPLINT STATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4049","description":"FINGER SPLINT STATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46200","description":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46200","description":"FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.137,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57160","description":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57160","description":"FIT and INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING/ORIENTATION/CHECKING OF HEARING AID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5011","description":"FITTING/ORIENTATION/CHECKING OF HEARING AID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FITTING/ORIENTATION/CHECKING OF HEARING AID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5011","description":"FITTING/ORIENTATION/CHECKING OF HEARING AID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0020","description":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0020","description":"FIXED ADJUSTABLE HEIGHT ARMREST PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15740","description":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15740","description":"FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP NEUROVASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15750","description":"FLAP NEUROVASCULAR PEDICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLAP NEUROVASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15750","description":"FLAP NEUROVASCULAR PEDICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92615","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92615","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92614","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92614","description":"FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92612","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92612","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92613","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92613","description":"FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92617","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92617","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92616","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92616","description":"FLEXIBLE NDSC EVAL SWLNG and LARYN SENS C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25316","description":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25316","description":"FLEXOR ORIGIN SLIDE F/ARM and /WRST TENDON TRANSFE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25315","description":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25315","description":"FLEXOR ORIGIN SLIDE FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24330","description":"FLEXOR-PLASTY ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24330","description":"FLEXOR-PLASTY ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":468.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":468.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24331","description":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24331","description":"FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88182","description":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88182","description":"FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88184","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88184","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88185","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88185","description":"FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88187","description":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88187","description":"FLOW CYTOMETRY INTERPJ 2-8 MARKERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88188","description":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88188","description":"FLOW CYTOMETRY INTERPJ 9-15 MARKERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPRETATION 16 OR GT  MARKERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88189","description":"FLOW CYTOMETRY INTERPRETATION 16 OR GT  MARKERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLOW CYTOMETRY INTERPRETATION 16 OR GT  MARKERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88189","description":"FLOW CYTOMETRY INTERPRETATION 16 OR GT  MARKERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7509","description":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7509","description":"FLTR HLDR AND INTGR FLTR HOUS AND ADHES TRACHEOSTOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7507","description":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7507","description":"FLTR HLDR and INTGR FLTR W/O ADHES TRACHEOSTMA EXCHG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7503","description":"FLTR HOLDER/CAP REUSBL TRACHEOSTOMA EXCHG SYS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7504","description":"FLTR USE TRACHEOSTOMA HEAT AND MOISTR EXCHG SYS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77003","description":"FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92230","description":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92230","description":"FLUORESCEIN ANGIOSCOPY INTERPRETATION  AND  REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.886,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86255","description":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86255","description":"FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86256","description":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86256","description":"FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77001","description":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77001","description":"FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9552","description":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9552","description":"FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77002","description":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77002","description":"FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76000","description":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76000","description":"FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTTER DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S8185","description":"FLUTTER DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FLUTTER DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8185","description":"FLUTTER DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81243","description":"FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81243","description":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81243","description":"FMR1 GENE ALYS EVAL TO DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.193,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6210","description":"FOAM DRESS  GT  16 BUT  LT or equal to  48 SQ W/O ADHES BO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6213","description":"FOAM DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/ADHES BO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6211","description":"FOAM DRESS STERL PAD  GT 48 SQ NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6209","description":"FOAM DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"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"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"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"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6214","description":"FOAM DRESS STERL PAD SZ  GT  48 SQ W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6212","description":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6212","description":"FOAM DRESS STERL PAD SZ 16 SQ OR GT  W/ADHES BORDR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.429,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOAM DRESSING WOUND FILLER STERILE PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6215","description":"FOAM DRESSING WOUND FILLER STERILE PER G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3140","description":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3140","description":"FOOT ABDUCTION ROTATION BAR INCLUDING SHOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3150","description":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3150","description":"FOOT ABDUCTION ROTATION BAR WITHOUT SHOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.718,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3030","description":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3030","description":"FOOT INSERT REMOVABLE FORMED PATIENT FOOT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3031","description":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3031","description":"FOOT INSRT/PLAT REMV ADD LW EXT ORTHOS HI STRGTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3170","description":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3170","description":"FOOT PLASTIC SILCONE HEEL STABILIZER PREFAB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0045","description":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0045","description":"FOOTREST COMPLETE ASSEMBLY REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0043","description":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0043","description":"FOOTREST LOWER EXTENSION TUBE REPLACEMNT ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0044","description":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0044","description":"FOOTREST UPPER HANGER BRACKET REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5512","description":"FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1052.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1052.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1055.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1055.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1157.6084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1157.6084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1283.2626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1283.2626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":192.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":192.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":207.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":207.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":765.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":765.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.4122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.4122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":859.9396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":859.9396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":938.0643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":938.0643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":950.5896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":950.5896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15731","description":"FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1052.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1052.3288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1055.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1055.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1157.6084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1157.6084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1283.2626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1283.2626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":192.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":192.3892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":207.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":207.0188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":228.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":228.1615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":765.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":765.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.4122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.4122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":859.9396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":859.9396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":938.0643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":938.0643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":950.5896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":950.5896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1901.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1901.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20973","description":"FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1901.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1901.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0920","description":"FRACTURE FRAME ATTACHED TO BED INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0948","description":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0948","description":"FRACTURE FRAME ATTCH COMPLEX CERVICAL TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":901.516,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0947","description":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":792.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0947","description":"FRACTURE FRAME ATTCH COMPLEX PELVIC TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":792.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":909.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0946","description":"FRACTURE FRAME DUAL W/CROSS BARS ATTACHED TO BED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":909.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":909.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0930","description":"FRACTURE FRAME FREESTANDING INCLUDES WEIGHTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30930","description":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30930","description":"FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1431.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1431.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15758","description":"FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1431.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1431.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43496","description":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43496","description":"FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.65,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1445.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15756","description":"FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1445.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49906","description":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1760.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49906","description":"FREE OMENTAL FLAP W/MICROVASCULAR ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1760.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1717.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1717.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20969","description":"FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1717.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1717.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20970","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1807.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1807.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20970","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1807.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1807.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1801.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1801.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20972","description":"FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1801.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1801.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1436.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15757","description":"FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1436.545,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.545,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41520","description":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41520","description":"FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":238.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":238.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRESH FROZEN PLASMA THAWING EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86927","description":"FRESH FROZEN PLASMA THAWING EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15574","description":"FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15572","description":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15572","description":"FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15570","description":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15570","description":"FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.993,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.685,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0072","description":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0072","description":"FRONT C ASSEMBLY COMPL SEMIPNEU TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0071","description":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0071","description":"FRONT CASTER ASSEM COMPLETE PN TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0077","description":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[210414],"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":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0077","description":"FRONT CASTER ASSEMBLY COMPL SLD TIRE REPL ONLY E","negotiated_rates":[{"provider_references":[210414],"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":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3000","description":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3000","description":"FT INSRT MOLD PT MDL UCB TYPE BERKLY SHELL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15240","description":"FTH/GFT FR DIR CLSR F/C/C/M/N/AX/G/H/F 20SQCM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15240","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15241","description":"FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15221","description":"FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15201","description":"FTH/GFT FR W/DIR CLSR TRUNK EA ADDL 20 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.639,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.586,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15220","description":"FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15200","description":"FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":545.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":545.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15241","description":"FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82731","description":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82731","description":"FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7030","description":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7030","description":"FULL FACE MASK USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1060","description":"FULL RECLIN WHLCHAIR; DTACHBLE ARMS LEGRESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3420","description":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3420","description":"FULL SOLE AND HEEL WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95962","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95962","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND ADDL HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95961","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95961","description":"FUNCJAL CORT and SUBCORT MAPG PHYS/QHP ATTND INIT HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.236,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26820","description":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26820","description":"FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81284","description":"FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81284","description":"FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Face tent","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4619","description":"Face tent","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Factor inhibitor test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85335","description":"Factor inhibitor test","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PC GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81250","description":"G6PC GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PC GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81250","description":"G6PC GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAIT TRAINER PED SZ POST SUPP W/ALL ACSS and CMPNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E8000","description":"GAIT TRAINER PED SZ POST SUPP W/ALL ACSS and CMPNTS","negotiated_rates":[{"provider_references":[210414],"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":"GAIT TRAINER PED SZ UPRT SUPP W/ALL ACSS and CMPNTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E8001","description":"GAIT TRAINER PED SZ UPRT SUPP W/ALL ACSS and CMPNTS","negotiated_rates":[{"provider_references":[210414],"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":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82775","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82775","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82776","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82776","description":"GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9556","description":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9556","description":"GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82787","description":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82787","description":"GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94727","description":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94727","description":"GAS DIL/WSHOT DETER LNG VOL DSTRBJ VNTJ and CLSG VOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT and V","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94727","description":"GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT and V","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82810","description":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82810","description":"GASES BLOOD O2 SATURATION ONLY DIRECT MEAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82805","description":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82805","description":"GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82800","description":"GASES BLOOD PH ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASES BLOOD PH ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82800","description":"GASES BLOOD PH ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82930","description":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82930","description":"GASTRIC ACID ANALYIS W/PH EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78264","description":"GASTRIC EMPTYING IMAGING STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC EMPTYING IMAGING STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78264","description":"GASTRIC EMPTYING IMAGING STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43754","description":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":307.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":307.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43754","description":"GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":307.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":307.2883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.7115,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":409.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":409.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43755","description":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":217.7739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":217.7739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.9684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43755","description":"GASTRIC INTUBATION DX  AND  ASPIRATJ MULTIPLE SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":217.7739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":217.7739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.9684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.9684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43753","description":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43753","description":"GASTRIC INTUBATJ  and  ASPIRAJ W/PHYS SKILL/LAVAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MOTILITY MANOMETRIC STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91020","description":"GASTRIC MOTILITY MANOMETRIC STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MOTILITY MANOMETRIC STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91020","description":"GASTRIC MOTILITY MANOMETRIC STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MUCOSA IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78261","description":"GASTRIC MUCOSA IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC MUCOSA IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78261","description":"GASTRIC MUCOSA IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43842","description":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1266.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43842","description":"GASTRIC RSTCV PX W/O BYP VERTICAL-BANDED GSTP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1266.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43846","description":"GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1900.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43847","description":"GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2075.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2075.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43842","description":"GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1266.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1266.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43845","description":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1317.0309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1317.0309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1444.5221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1444.5221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1463.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1463.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1553.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1553.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1606.6167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1606.6167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1641.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1641.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1727.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1727.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1803.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1803.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1941.6277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1941.6277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43845","description":"GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1317.0309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1317.0309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1444.5221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1444.5221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1463.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1463.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1553.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1553.6763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1606.6167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1606.6167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1641.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1641.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1727.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1727.1605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1803.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1803.8824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1941.6277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1941.6277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIN AFTER SECRETIN STIMULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82938","description":"GASTRIN AFTER SECRETIN STIMULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRIN AFTER SECRETIN STIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82938","description":"GASTRIN AFTER SECRETIN STIMULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROCNEMIUS RECESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27687","description":"GASTROCNEMIUS RECESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43810","description":"GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43810","description":"GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":639.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":639.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91034","description":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91034","description":"GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91037","description":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91037","description":"GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91035","description":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91035","description":"GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAGEAL REFLUX STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78262","description":"GASTROESOPHAGEAL REFLUX STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROESOPHAGEAL REFLUX STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78262","description":"GASTROESOPHAGEAL REFLUX STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL PROTEIN LOSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78282","description":"GASTROINTESTINAL PROTEIN LOSS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL PROTEIN LOSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78282","description":"GASTROINTESTINAL PROTEIN LOSS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91111","description":"GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43820","description":"GASTROJEJUNOSTOMY W/O VAGOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/O VAGOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43820","description":"GASTROJEJUNOSTOMY W/O VAGOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43825","description":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43825","description":"GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43840","description":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":854.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43840","description":"GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":854.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43831","description":"GASTROSTOMY OPEN NEONATAL FOR FEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43832","description":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43832","description":"GASTROSTOMY OPEN W/CONSTJ GASTRIC TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43830","description":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43830","description":"GASTROSTOMY OPEN W/O CONSTJ GASTRIC TUBE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN NEONATAL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43831","description":"GASTROSTOMY OPN NEONATAL FEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN W/CONSTJ GSTR TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43832","description":"GASTROSTOMY OPN W/CONSTJ GSTR TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43830","description":"GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43500","description":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43500","description":"GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43502","description":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":955.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43502","description":"GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":955.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":955.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43501","description":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43501","description":"GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG H2O/NL SALINE STERL  GT 16 SQ NO ADHES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6228","description":"GAUZE IMPREG H2O/NL SALINE STERL  GT 16 SQ NO ADHES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6232","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6232","description":"GAUZE IMPREG HYDROGEL DIR WND CNTC  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6222","description":"GAUZE IMPREG NOT H2O NL SALINE/HYDROGEL 16 SQ OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.508,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6223","description":"GAUZE IMPREG NOT H2O SALINE/HYDRGEL  GT 16  LT or equal to","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6266","description":"GAUZE IMPREG NOT H2O SALINE/ZINC PASTE LINR YD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6220","description":"GAUZE NON-IMPREG  GT 16  LT or equal to  48 SQ W/ADHES BOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6218","description":"GAUZE NON-IMPREG NONSTERL  GT  48 SQ W/O ADHES EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6219","description":"GAUZE NON-IMPREG STERL 16 SQ/LESS W/ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81251","description":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.24,"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"}]}]},{"negotiation_arrangement":"ffs","name":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81251","description":"GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.24,"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"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81450","description":"GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81445","description":"GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2611","description":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2611","description":"GEN WC BACK CUSHN WDTH  LT  22 IN HT MOUNT HARDWARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL HEALTH PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80050","description":"GENERAL HEALTH PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL HEALTH PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80050","description":"GENERAL HEALTH PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2601","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2601","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2602","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2602","description":"GENERAL WHLCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81443","description":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1567.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2154.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81443","description":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1567.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1567.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2154.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2154.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21123","description":"GENIOP SLIDING AGMNTJ W/NTRPSTJ BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY 2 OR GT  SLIDING OSTEOTOMIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21122","description":"GENIOPLASTY 2 OR GT  SLIDING OSTEOTOMIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21120","description":"GENIOPLASTY AUGMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21120","description":"GENIOPLASTY AUGMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21122","description":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21122","description":"GENIOPLASTY SLIDING OSTEOTOMIES 2 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21121","description":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21121","description":"GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81425","description":"GENOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3219.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3219.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4427.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4427.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GENOME SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81425","description":"GENOME SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3219.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3219.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4427.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4427.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI ENDOSCOPIC US S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI ENDOSCOPIC US S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76975","description":"GI ENDOSCOPIC US S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91110","description":"GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43361","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1686.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43361","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1686.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1686.355,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43360","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1380.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43360","description":"GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1380.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1380.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91111","description":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91111","description":"GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":555.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":555.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91110","description":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91110","description":"GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41872","description":"GINGIVOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GINGIVOPLASTY EACH QUADRANT SPECIFY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41872","description":"GINGIVOPLASTY EACH QUADRANT SPECIFY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GJB6 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81254","description":"GJB6 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"GJB6 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81254","description":"GJB6 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLASSES BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5080","description":"GLASSES BONE CONDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86258","description":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86258","description":"GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY  LT ONE-HALF TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41120","description":"GLOSSECTOMY  LT ONE-HALF TONGUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY  LT ONE-HALF TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41120","description":"GLOSSECTOMY  LT ONE-HALF TONGUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY HEMIGLOSSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41130","description":"GLOSSECTOMY HEMIGLOSSECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":842.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY HEMIGLOSSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41130","description":"GLOSSECTOMY HEMIGLOSSECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":842.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":842.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41135","description":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1378.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1378.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41135","description":"GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1378.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1378.366,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES NON-STERILE PER 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4927","description":"GLOVES NON-STERILE PER 100","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLOVES STERILE PER PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4930","description":"GLOVES STERILE PER PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41145","description":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1746.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1746.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41145","description":"GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1746.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1746.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41140","description":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1389.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1389.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41140","description":"GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1389.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1389.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41153","description":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1521.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41153","description":"GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1521.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1521.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41155","description":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1889.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1889.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41155","description":"GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ  AND  RAD NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1889.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1889.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41150","description":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1399.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41150","description":"GLSSC COMPOSIT W/RESCJ FLOOR  and  MANDIBULAR RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1399.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.332,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82962","description":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82962","description":"GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82955","description":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82955","description":"GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82960","description":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82960","description":"GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.324,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.433,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.433,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BODY FLUID OTHER THAN BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82945","description":"GLUCOSE BODY FLUID OTHER THAN BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE BODY FLUID OTHER THAN BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82945","description":"GLUCOSE BODY FLUID OTHER THAN BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE POST GLUCOSE DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82950","description":"GLUCOSE POST GLUCOSE DOSE","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE POST GLUCOSE DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82950","description":"GLUCOSE POST GLUCOSE DOSE","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82947","description":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82947","description":"GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82952","description":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82952","description":"GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL INSULINOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80422","description":"GLUCOSE TOLERANCE PANEL INSULINOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL INSULINOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80422","description":"GLUCOSE TOLERANCE PANEL INSULINOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80424","description":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80424","description":"GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82946","description":"GLUCOSE TOLERANCE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82946","description":"GLUCOSE TOLERANCE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.642,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.642,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82951","description":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82951","description":"GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS","negotiated_rates":[{"provider_references":[210414],"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":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7642","description":"GLYCOPYRROLATE INHAL COMP PROD CONC FORM PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7643","description":"GLYCOPYRROLATE INHAL COMP UNIT DOSE FORM PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.166,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84704","description":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84704","description":"GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84703","description":"GONADOTROPIN CHORIONIC QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84703","description":"GONADOTROPIN CHORIONIC QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84702","description":"GONADOTROPIN CHORIONIC QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN CHORIONIC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84702","description":"GONADOTROPIN CHORIONIC QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83001","description":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83001","description":"GONADOTROPIN FOLLICLE STIMULATING HORMONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN LUTEINIZING HORMONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83002","description":"GONADOTROPIN LUTEINIZING HORMONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN LUTEINIZING HORMONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83002","description":"GONADOTROPIN LUTEINIZING HORMONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80426","description":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80426","description":"GONADOTROPIN RELEASING HORMONE STIMJ PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.984,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6561","description":"GRAD CMP STCK FULL LEN/CHAP ST 40MMHG OR LT  CST EA","negotiated_rates":[{"provider_references":[210414],"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":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6559","description":"GRAD CMP STCK FULL LEN/CHAP STY 18-30MMHG CST EA","negotiated_rates":[{"provider_references":[210414],"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":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6560","description":"GRAD CMP STCK FULL LEN/CHAP STY 30-40MMHG CST EA","negotiated_rates":[{"provider_references":[210414],"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":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6545","description":"GRAD COMPRS WRP NONELAS BK 30-50MM HG SRG DRS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP ARM SLEEVE CUSTOM MED WEIGHT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6576","description":"GRADIENT COMP ARM SLEEVE CUSTOM MED WEIGHT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP GARMENT NOS FOR NIGHTTIME USE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6519","description":"GRADIENT COMP GARMENT NOS FOR NIGHTTIME USE EACH","negotiated_rates":[{"provider_references":[210414],"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":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6531","description":"GRADIENT COMP STK BLW KNEE 30-40MM HG SRG DSG EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMP WRAP ADJ STRAPS ABOVE KNEE EA CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6611","description":"GRADIENT COMP WRAP ADJ STRAPS ABOVE KNEE EA CSTM","negotiated_rates":[{"provider_references":[210414],"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":"GRADIENT COMP WRAP ADJ STRAPS ARM EACH CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6518","description":"GRADIENT COMP WRAP ADJ STRAPS ARM EACH CUSTOM","negotiated_rates":[{"provider_references":[210414],"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":"GRADIENT COMP WRAP ADJ STRAPS BELOW KNEE EA CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6517","description":"GRADIENT COMP WRAP ADJ STRAPS BELOW KNEE EA CSTM","negotiated_rates":[{"provider_references":[210414],"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":"GRADIENT COMP WRAP ADJ STRAPS FOOT EACH CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6516","description":"GRADIENT COMP WRAP ADJ STRAPS FOOT EACH CUSTOM","negotiated_rates":[{"provider_references":[210414],"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":"GRADIENT COMP WRAP ADJ STRAPS FULL LEG EACH CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6515","description":"GRADIENT COMP WRAP ADJ STRAPS FULL LEG EACH CSTM","negotiated_rates":[{"provider_references":[210414],"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":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6522","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6522","description":"GRADIENT COMPR GMT ARM PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6520","description":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6520","description":"GRADIENT COMPR GMT GLOVE PADDED FOR NT USE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6609","description":"GRADIENT COMPRESSION BANDAGING SUPPLY NOS","negotiated_rates":[{"provider_references":[210414],"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":"GRADIENT COMPRESSION GLOVE CUSTOM MED WEIGHT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6579","description":"GRADIENT COMPRESSION GLOVE CUSTOM MED WEIGHT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRADIENT COMPRESSION GLOVE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6581","description":"GRADIENT COMPRESSION GLOVE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21215","description":"GRAFT BONE MANDIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2661.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2661.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE MANDIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21215","description":"GRAFT BONE MANDIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2661.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2661.736,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21210","description":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21210","description":"GRAFT BONE NASAL/MAXILLARY/MALAR AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15760","description":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15760","description":"GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":433.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":433.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":473.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":473.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":518.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":518.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":611.3033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":611.3033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":670.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":670.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT DERMA-FAT-FASCIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15770","description":"GRAFT DERMA-FAT-FASCIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":433.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":433.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":473.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":473.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":518.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":518.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":562.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":562.2373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":611.3033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":611.3033,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":670.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":670.7903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21235","description":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21235","description":"GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15840","description":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15840","description":"GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15841","description":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1139.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15841","description":"GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1139.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21230","description":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21230","description":"GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46753","description":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46753","description":"GRAFT THIERSCH RCT INCONTINENCE  and /PROLAPSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15771","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":618.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":618.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":684.3176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":684.3176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":764.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":764.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15771","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":618.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":618.3509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":684.3176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":684.3176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":764.58,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":764.58,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15772","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15772","description":"GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.9883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.1837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":193.0906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0941","description":"GRAVITY ASSISTED TRACTION DEVICE ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRAVLEE JET WASHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4470","description":"GRAVLEE JET WASHER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15845","description":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15845","description":"GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15842","description":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1718.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1718.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15842","description":"GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1718.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1718.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97552","description":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97552","description":"GROUP CAREGIVER TRAINING STRATEGIES  and  TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90853","description":"GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE HUMAN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86277","description":"GROWTH HORMONE HUMAN ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE HUMAN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86277","description":"GROWTH HORMONE HUMAN ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80428","description":"GROWTH HORMONE STIMULATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80428","description":"GROWTH HORMONE STIMULATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80430","description":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80430","description":"GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV OPN RMVL  AND  RPLCMT SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43888","description":"GSTR RSTCV OPN RMVL  AND  RPLCMT SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":416.3756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":416.3756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":429.7026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":429.7026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.8737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.8737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":469.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":469.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":510.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":510.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43888","description":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":416.3756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":416.3756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":429.7026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":429.7026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.8737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.8737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":469.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":469.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":510.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":510.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43888","description":"GSTR RSTCV PX OPEN RMVL  and  RPLCMT SUBQ PORT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":385.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":385.6468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":416.3756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":416.3756,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":429.7026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":429.7026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.8737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.8737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":469.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":469.9173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":510.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":510.9002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43886","description":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43886","description":"GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.4473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.4494,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":407.5578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43887","description":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":238.9166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":238.9166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":267.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":267.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43887","description":"GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":238.9166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":238.9166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":267.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":267.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":272.3175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":296.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":296.433,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":301.4431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":303.0464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":331.5039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":336.6143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.4868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43846","description":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1900.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43846","description":"GSTR RSTCV PX W/BYP SHORT LIMB 150 CM OR LT ROUX-EN-Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1900.173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.173,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43847","description":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2075.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2075.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43847","description":"GSTR RSTCV PX W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2075.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2075.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43843","description":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1480.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43843","description":"GSTR RSTCV PX W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1480.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43843","description":"GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1480.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1480.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43634","description":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1324.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43634","description":"GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1324.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1324.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43631","description":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43631","description":"GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43632","description":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1271.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1271.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43632","description":"GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1271.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1271.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43633","description":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1202.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43633","description":"GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1202.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43620","description":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43620","description":"GSTRCT TOT W/ESOPHAGOENTEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43622","description":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1438.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43622","description":"GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1438.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1438.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43621","description":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1419.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43621","description":"GSTRCT TOT W/ROUX-EN-Y RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1419.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1419.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43510","description":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43510","description":"GSTRT W/ESOPHGL DILAT and INSJ PRM INTRAL TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":601.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":601.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H2O DIST USE W/LG VOL NEB 1000 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7018","description":"H2O DIST USE W/LG VOL NEB 1000 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"H2O DIST USE W/LG VOL NEB 1000 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7018","description":"H2O DIST USE W/LG VOL NEB 1000 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUS-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3100","description":"HALLUS-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28291","description":"HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":412.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":412.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.5447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.5447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":492.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":492.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":503.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":503.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":544.9691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":544.9691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":606.5603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":606.5603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":651.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":651.7518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":718.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":718.1528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":799.6509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":799.6509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3100","description":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3100","description":"HALLUX-VALGUS NIGHT DYNAMIC SPLINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0830","description":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3598.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3598.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0830","description":"HALO PROC CERV HALO INC IN MLWAKEE TYPE ORTHOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3598.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3598.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0820","description":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2565.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2565.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0820","description":"HALO PROC CERV HALO INC IN PLASTR BDY JACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2565.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2565.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0810","description":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2612.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2612.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0810","description":"HALO PROC CERV HALO INCORPORATED IN JACKET VEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2612.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2612.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3912","description":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3912","description":"HAND FINGER ORTHOSIS FLEX GLOV FINGR CNTRL PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3917","description":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3917","description":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6905","description":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1981.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1981.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6905","description":"HAND REST PART HAND W/GLOVE MX FNGR REMAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1981.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1981.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6910","description":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1626.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1626.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6910","description":"HAND REST PART HAND W/GLOVE NO FNGR REMAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1626.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1626.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6900","description":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1965.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1965.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6900","description":"HAND REST PART HAND W/GLOVE THUMB/1 FNGR REMAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1965.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1965.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6915","description":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":734.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6915","description":"HAND RESTORATION REPLACEMENT GLOVE FOR ABOVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":734.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3929","description":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3929","description":"HAND-FINGER ORTHOSIS 1 OR GT  NONTORSN JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.055,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3923","description":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3923","description":"HAND-FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3924","description":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3924","description":"HAND-FINGER ORTHOSIS WITHOUT JOINTS PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99002","description":"HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35572","description":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35572","description":"HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15040","description":"HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35600","description":"HARVEST UPPER EXTREMITY ARTERY 1 SEGMENT CABG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35500","description":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35500","description":"HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"68371","description":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":256.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":256.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":276.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":276.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":287.2477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":287.2477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":304.2154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":304.2154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":311.1962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":311.1962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":320.6486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":320.6486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":345.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":345.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":345.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":345.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.2692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.2692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"68371","description":"HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":256.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":256.5189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":276.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":276.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":287.2477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":287.2477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":304.2154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":304.2154,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":311.1962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":311.1962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":320.6486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":320.6486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":345.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":345.0313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":345.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":345.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.2692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.2692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81257","description":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81257","description":"HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81269","description":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81269","description":"HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81361","description":"HBB COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81361","description":"HBB COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.835,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81364","description":"HBB FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81364","description":"HBB FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77770","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77770","description":"HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7035","description":"HEADGEAR USED W/POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96156","description":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96156","description":"HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96170","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96170","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96171","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96171","description":"HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.211,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96167","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96167","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96168","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96168","description":"HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96164","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96164","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.185,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96165","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96165","description":"HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96158","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96158","description":"HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.104,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5171","description":"HEARING AID CONTRALAT ROUT DEVICE MONAURAL ITE","negotiated_rates":[{"provider_references":[210414],"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":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5221","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL BTE/BTE","negotiated_rates":[{"provider_references":[210414],"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":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5215","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITC/BTE","negotiated_rates":[{"provider_references":[210414],"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":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5213","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/BTE","negotiated_rates":[{"provider_references":[210414],"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":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5211","description":"HEARING AID CONTRALAT ROUT SYS BINAURAL ITE/ITE","negotiated_rates":[{"provider_references":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5181","description":"HEARING AID CONTRALATERAL ROUT DVC MONAURAL BTE","negotiated_rates":[{"provider_references":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5261","description":"HEARING AID DIGITAL BINAURAL BTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5261","description":"HEARING AID DIGITAL BINAURAL BTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5259","description":"HEARING AID DIGITAL BINAURAL ITC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5260","description":"HEARING AID DIGITAL BINAURAL ITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL BINAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5260","description":"HEARING AID DIGITAL BINAURAL ITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5257","description":"HEARING AID DIGITAL MONAURAL BTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL BTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5257","description":"HEARING AID DIGITAL MONAURAL BTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5256","description":"HEARING AID DIGITAL MONAURAL ITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID DIGITAL MONAURAL ITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5256","description":"HEARING AID DIGITAL MONAURAL ITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BEHIND THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5060","description":"HEARING AID MONAURAL BEHIND THE EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5040","description":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5040","description":"HEARING AID MONAURAL BODY WORN BONE CONDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V5050","description":"HEARING AID MONAURAL IN THE EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID MONAURAL IN THE EAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5050","description":"HEARING AID MONAURAL IN THE EAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEARING AID NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V5298","description":"HEARING AID NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2956.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2956.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33945","description":"HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2956.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2956.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33935","description":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2987.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2987.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33935","description":"HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2987.831,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2987.831,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY ANALYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY ANALYTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83015","description":"HEAVY METAL QUALITATIVE ANY NUMBER OF ANALYTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.425,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.425,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTIATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83018","description":"HEAVY METAL QUANTIATIVE EACH NES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTITATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83018","description":"HEAVY METAL QUANTITATIVE EACH NES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEAVY METAL QUANTITATIVE EACH NES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83018","description":"HEAVY METAL QUANTITATIVE EACH NES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL COUNTER PLASTIC REINFORCED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3430","description":"HEEL COUNTER PLASTIC REINFORCED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL COUNTER PLASTIC REINFORCED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3430","description":"HEEL COUNTER PLASTIC REINFORCED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0951","description":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0951","description":"HEEL LOOP/HOLDER TYPE W/WO ANKLE STRAP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL OR ELBOW PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0191","description":"HEEL OR ELBOW PROTECTOR EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL OR ELBOW PROTECTOR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0191","description":"HEEL OR ELBOW PROTECTOR EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3350","description":"HEEL WEDGE","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3350","description":"HEEL WEDGE","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE SACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3340","description":"HEEL WEDGE SACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEEL WEDGE SACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3340","description":"HEEL WEDGE SACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.414,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85441","description":"HEINZ BODIES DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85441","description":"HEINZ BODIES DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85445","description":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85445","description":"HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8003","description":"HELMET PROTECTIVE HARD CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8002","description":"HELMET PROTECTIVE SOFT CUSTOM FAB COMP ACCSSRIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8001","description":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8001","description":"HELMET PROTECTVE HARD PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A8000","description":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8000","description":"HELMET PROTECTVE SOFT PREFAB COMPONENT ACCSSRIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMAGGLUTINATION INHIBITION TEST HAI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86280","description":"HEMAGGLUTINATION INHIBITION TEST HAI","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMAGGLUTINATION INHIBITION TEST HAI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86280","description":"HEMAGGLUTINATION INHIBITION TEST HAI","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81450","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81450","description":"HEMATOLYMPHOID NEO/DO GSAP 5-50DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIARTHROPLASTY HIP PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27125","description":"HEMIARTHROPLASTY HIP PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIARTHROPLASTY HIP PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27125","description":"HEMIARTHROPLASTY HIP PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIEPIPHYSEAL ARREST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24470","description":"HEMIEPIPHYSEAL ARREST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIEPIPHYSEAL ARREST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24470","description":"HEMIEPIPHYSEAL ARREST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5280","description":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6871.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6871.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5280","description":"HEMIPELVECT CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6871.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6871.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28160","description":"HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90935","description":"HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90937","description":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90937","description":"HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83026","description":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83026","description":"HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.531,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL CHEMICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83030","description":"HEMOGLOBIN F FETAL CHEMICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL CHEMICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83030","description":"HEMOGLOBIN F FETAL CHEMICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83033","description":"HEMOGLOBIN F FETAL QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN F FETAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83033","description":"HEMOGLOBIN F FETAL QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83021","description":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","negotiated_rates":[{"provider_references":[210414],"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":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83021","description":"HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY","negotiated_rates":[{"provider_references":[210414],"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":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83020","description":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83020","description":"HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.24,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83045","description":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83045","description":"HEMOGLOBIN METHEMOGLOBIN QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83050","description":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83050","description":"HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83051","description":"HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83051","description":"HEMOGLOBIN PLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88740","description":"HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88740","description":"HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88741","description":"HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88741","description":"HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83060","description":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83060","description":"HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN THERMOLABILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83065","description":"HEMOGLOBIN THERMOLABILE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN THERMOLABILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83065","description":"HEMOGLOBIN THERMOLABILE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN UNSTABLE SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83068","description":"HEMOGLOBIN UNSTABLE SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN UNSTABLE SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83068","description":"HEMOGLOBIN UNSTABLE SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83069","description":"HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOGLOBIN URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83069","description":"HEMOGLOBIN URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSIN ACID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85475","description":"HEMOLYSIN ACID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSIN ACID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85475","description":"HEMOLYSIN ACID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86940","description":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86940","description":"HEMOLYSINS AND AGGLUTININS AUTO SCREEN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS INCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86941","description":"HEMOLYSINS AND AGGLUTININS INCUBATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOLYSINS AND AGGLUTININS INCUBATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86941","description":"HEMOLYSINS AND AGGLUTININS INCUBATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPERFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90997","description":"HEMOPERFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMOPERFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90997","description":"HEMOPERFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46257","description":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46257","description":"HEMORRHOID NTRNL  and  XTRNL 1 COLUMN W/FISSURECTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46260","description":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46260","description":"HEMORRHOIDECTOMY INT  and  XTRNL 2 OR GT  COLUMN/GRO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46221","description":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46221","description":"HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46255","description":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46255","description":"HEMORRHOIDECTOMY NTRNL  and  XTRNL 1 COLUMN/GROUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46250","description":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46250","description":"HEMORRHOIDECTOMY XTRNL 2 OR GT  COLUMN/GROUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDOPEXY STAPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46947","description":"HEMORRHOIDOPEXY STAPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEMORRHOIDOPEXY STAPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46947","description":"HEMORRHOIDOPEXY STAPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.91,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.91,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.103,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85520","description":"HEPARIN ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85520","description":"HEPARIN ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85525","description":"HEPARIN NEUTRALIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85525","description":"HEPARIN NEUTRALIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN-PROTAMINE TOLERANCE TST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85530","description":"HEPARIN-PROTAMINE TOLERANCE TST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPARIN-PROTAMINE TOLERANCE TST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85530","description":"HEPARIN-PROTAMINE TOLERANCE TST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75889","description":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75889","description":"HEPATC VNGRPH WDG/FR HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75891","description":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75891","description":"HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47400","description":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1340.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47400","description":"HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1340.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1340.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47120","description":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1461.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47120","description":"HEPATECTOMY RESCJ PARTIAL LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1461.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47125","description":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1916.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1916.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47125","description":"HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1916.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1916.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47130","description":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2053.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2053.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47130","description":"HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2053.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2053.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47122","description":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2134.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2134.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47122","description":"HEPATECTOMY RESCJ TRISEGMENTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2134.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2134.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATIC FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80076","description":"HEPATIC FUNCTION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATIC FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80076","description":"HEPATIC FUNCTION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A ANTIBODY HAAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86708","description":"HEPATITIS A ANTIBODY HAAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS A ANTIBODY HAAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86708","description":"HEPATITIS A ANTIBODY HAAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86709","description":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86709","description":"HEPATITIS ANTIBODY HAAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86705","description":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86705","description":"HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86704","description":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86704","description":"HEPATITIS B CORE ANTIBODY HBCAB TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.712,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURF ANTIBODY HBSAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86706","description":"HEPATITIS B SURF ANTIBODY HBSAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS B SURF ANTIBODY HBSAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86706","description":"HEPATITIS B SURF ANTIBODY HBSAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS BE ANTIBODY HBEAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86707","description":"HEPATITIS BE ANTIBODY HBEAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS BE ANTIBODY HBEAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86707","description":"HEPATITIS BE ANTIBODY HBEAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86803","description":"HEPATITIS C ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86803","description":"HEPATITIS C ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86804","description":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86804","description":"HEPATITIS C ANTIBODY CONFIRMATORY TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78227","description":"HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78226","description":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78226","description":"HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47010","description":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47010","description":"HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.259,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.665,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81439","description":"HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81439","description":"HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81435","description":"HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1147.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81435","description":"HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5 Plus","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1147.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81435","description":"HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5 Plus","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1147.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.528,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81448","description":"HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81448","description":"HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86308","description":"HETEROPHILE ANTIBODIES SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86308","description":"HETEROPHILE ANTIBODIES SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86309","description":"HETEROPHILE ANTIBODIES TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HETEROPHILE ANTIBODIES TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86309","description":"HETEROPHILE ANTIBODIES TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY MNL WC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1017","description":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY MNL WC EA","negotiated_rates":[{"provider_references":[210414],"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":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY PWR WC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1018","description":"HEVY DUTY SHOCK ABSORBR HEVY/XTRA HEVY PWR WC EA","negotiated_rates":[{"provider_references":[210414],"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":"HEXA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81255","description":"HEXA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HEXA GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81255","description":"HEXA GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0483","description":"HF CW OS SYS FULL THOR REG RECV SIM EXT OS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81256","description":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81256","description":"HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83037","description":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83037","description":"HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83037","description":"HGB GLYCOSYLATED DEVICE CLEARED FDA HOME USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB QUANTITATIVE TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88738","description":"HGB QUANTITATIVE TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB QUANTITATIVE TRANSCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88738","description":"HGB QUANTITATIVE TRANSCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB-O2 AFFINITY PO2 50 PCT  SATURATION OXYGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82820","description":"HGB-O2 AFFINITY PO2 50 PCT  SATURATION OXYGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB-O2 AFFINITY PO2 50 PCT  SATURATION OXYGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82820","description":"HGB-O2 AFFINITY PO2 50 PCT  SATURATION OXYGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85460","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85460","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85461","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85461","description":"HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.239,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.239,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7026","description":"HI FREQ CHST WALL OSCILLAT SYS HOSE REPL PT OWND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.49,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7025","description":"HI FREQ CHST WALL OSCILLAT SYS VEST REPL PT OWND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.49,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.49,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.813,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.813,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.629,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77423","description":"HIGH ENERGY NEUTRON RADJ TX DLVR 1 OR GT  ISOCENTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0483","description":"HIGH FREQUENCY CHEST WALL OSCILLATION SYSTEM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1576.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH MOUNT FLIP-UP FOOTREST EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0037","description":"HIGH MOUNT FLIP-UP FOOTREST EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIGH MOUNT FLIP-UP FOOTREST EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0037","description":"HIGH MOUNT FLIP-UP FOOTREST EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5250","description":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6478.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6478.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5250","description":"HIP DISARTIC CANADIAN TYPE; MOLD SOCKT HIP JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6478.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6478.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5270","description":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6940.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6940.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5270","description":"HIP DISRTC TILT TABLE; MOLD SCKT LOCK HIP JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6940.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6940.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1686","description":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":878.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1686","description":"HIP ORTHOS ABDUCT CNTRL POSTOP HIP PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":878.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1660","description":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1660","description":"HIP ORTHOS ABDUCT CNTRL STAT PLSTC PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1650","description":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1650","description":"HIP ORTHOSIS ABDUCT CNTRL STAT ADJ PRFAB-FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1600","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1600","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1610","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1610","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1620","description":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1620","description":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS BIL THI CUFF ADLT SZ PRFAB ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1652","description":"HIP ORTHOSIS BIL THI CUFF ADLT SZ PRFAB ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45290.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45290.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47503.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47503.874,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45290.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45290.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47503.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47503.874,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5361.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5361.246,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5361.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5361.246,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86813","description":"HLA TYPING A/B/C MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86813","description":"HLA TYPING A/B/C MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86812","description":"HLA TYPING A/B/C SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING A/B/C SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86812","description":"HLA TYPING A/B/C SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86817","description":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86817","description":"HLA TYPING DR/DQ MULTIPLE ANTIGENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86816","description":"HLA TYPING DR/DQ SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING DR/DQ SINGLE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86816","description":"HLA TYPING DR/DQ SINGLE ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING LYMPHOCYTE CULTURE MIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86821","description":"HLA TYPING LYMPHOCYTE CULTURE MIXED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HLA TYPING LYMPHOCYTE CULTURE MIXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86821","description":"HLA TYPING LYMPHOCYTE CULTURE MIXED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1652","description":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1652","description":"HO BIL TH CUFFS ADULT PREFAB CM FIT SPECIFIC PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME BLOOD GLUCOSE MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0607","description":"HOME BLOOD GLUCOSE MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME BLOOD GLUCOSE MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0607","description":"HOME BLOOD GLUCOSE MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.623,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.623,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.061,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99348","description":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99348","description":"HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99349","description":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99349","description":"HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99347","description":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99347","description":"HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99345","description":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99345","description":"HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99342","description":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99342","description":"HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.639,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99341","description":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99341","description":"HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOMOGENIZATION TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87176","description":"HOMOGENIZATION TISSUE CULTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOMOGENIZATION TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87176","description":"HOMOGENIZATION TISSUE CULTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL DISCHARGE DAY MANAGEMENT  GT  30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL DISCHARGE DAY MANAGEMENT 30 MIN OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99236","description":"HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99235","description":"HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99234","description":"HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99239","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT  GT  30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99238","description":"HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS  and / VALV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7508","description":"HOUS and INTGR ADHES TRACHEOSTOMA EXCHG SYS  and / VALV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7505","description":"HOUSING REUSABL W/O ADHES EXCHG SYS and / VALV EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83009","description":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83009","description":"HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83013","description":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83013","description":"HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI DRUG ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83014","description":"HPYLORI DRUG ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HPYLORI DRUG ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83014","description":"HPYLORI DRUG ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46258","description":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46258","description":"HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46262","description":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46262","description":"HRHC 2 OR GT  COL/GRP W/FSTULECTMY INCL FSSRECTMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46261","description":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46261","description":"HRHC NTRNL  and  XTRNL 2 OR GT  COLUMN/GROUP W/FISSU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86305","description":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86305","description":"HUMAN EPIDIDYMIS PROTEIN 4 (HE4)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0562","description":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0562","description":"HUMDIFIR HEATED USED W/POS ARWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.591,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"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":"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":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.432,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.432,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.716,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.716,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.768,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7323","description":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.127,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7323","description":"HYALURONAN/DERIVATIVE EUFLEXXA IA INJ PER DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.127,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6238","description":"HYDROCOLLOID DRESS  GT  16 BUT  LT or equal to  48 SQ W/AD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6235","description":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6235","description":"HYDROCOLLOID DRESS  GT 16 BUT  LT or equal to 48 SQ W/O AD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6236","description":"HYDROCOLLOID DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.109,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6234","description":"HYDROCOLLOID DRESS STERL 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6241","description":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6241","description":"HYDROCOLLOID DRESS WND FIL DRY FORM STERL PER G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6240","description":"HYDROCOLLOID DRESSING WND FIL PASTE STERL PER OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6246","description":"HYDROGEL DRESS  GT  16 SQ BUT  LT or equal to  48 SQ W/ADH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6243","description":"HYDROGEL DRESS  GT 16 SQ BUT  LT or equal to  48 SQ W/O AD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.509,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6244","description":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6244","description":"HYDROGEL DRESS STERL PAD   GT  48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6247","description":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6247","description":"HYDROGEL DRESS STERL PAD  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6245","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6245","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.558,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6242","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6242","description":"HYDROGEL DRESS STERL PAD 16 SQ OR LT  NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6248","description":"HYDROGEL DRESSING WOUND FILLER GEL PER FL OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYDROXYCORTICOSTEROIDS 17","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83491","description":"HYDROXYCORTICOSTEROIDS 17","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.752,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYMENOTOMY SIMPLE INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56442","description":"HYMENOTOMY SIMPLE INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYMENOTOMY SIMPLE INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56442","description":"HYMENOTOMY SIMPLE INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYOID MYOTOMY  AND  SUSPENSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21685","description":"HYOID MYOTOMY  AND  SUSPENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYOID MYOTOMY  AND  SUSPENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21685","description":"HYOID MYOTOMY  AND  SUSPENSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNAL GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77605","description":"HYPERTHERMIA EXTERNAL GENERATED DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1087.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1087.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1147.5213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1147.5213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1258.6461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1258.6461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":860.4072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":860.4072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":957.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":957.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":984.7921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":984.7921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77605","description":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1087.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1087.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1147.5213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1147.5213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1258.6461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1258.6461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":860.4072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":860.4072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":957.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":957.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":984.7921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":984.7921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77605","description":"HYPERTHERMIA EXTERNALLY GENERATED DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1087.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1087.6335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1147.5213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1147.5213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1258.6461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1258.6461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":860.4072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":860.4072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":957.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":957.9378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":984.7921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":984.7921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77620","description":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":583.8477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":583.8477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":668.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":668.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":778.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":778.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77620","description":"HYPERTHERMIA GENERATED BY INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":583.8477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":583.8477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":668.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":668.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":778.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":778.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPERTHERMIA INTRACAVITARY PROBES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77620","description":"HYPERTHERMIA INTRACAVITARY PROBES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":583.8477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":583.8477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":668.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":668.2518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":778.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":778.6752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61548","description":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":991.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61548","description":"HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":991.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":991.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROPLASTY RPR UTERINE ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58540","description":"HYSTEROPLASTY RPR UTERINE ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROPLASTY RPR UTERINE ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58540","description":"HYSTEROPLASTY RPR UTERINE ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58520","description":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58520","description":"HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY RUPTURED UTERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59350","description":"HYSTERORRHAPHY RUPTURED UTERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTERORRHAPHY RUPTURED UTERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59350","description":"HYSTERORRHAPHY RUPTURED UTERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSALPINGOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74740","description":"HYSTEROSALPINGOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSALPINGOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74740","description":"HYSTEROSALPINGOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58558","description":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":826.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58558","description":"HYSTEROSCOPY BX ENDOMETRIUM and /POLYPC W/WO D and C","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":826.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":826.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58555","description":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58555","description":"HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58560","description":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58560","description":"HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY ENDOMETRIAL ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58563","description":"HYSTEROSCOPY ENDOMETRIAL ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1313.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY ENDOMETRIAL ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58563","description":"HYSTEROSCOPY ENDOMETRIAL ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1313.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1313.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58559","description":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58559","description":"HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58562","description":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58562","description":"HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58561","description":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58561","description":"HYSTEROSCOPY REMOVAL LEIOMYOMATA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59100","description":"HYSTEROTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":936.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"HYSTEROTOMY ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59100","description":"HYSTEROTOMY ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":936.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":936.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoperfusion","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90997","description":"Hemoperfusion","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Heparin assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85520","description":"Heparin assay","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Heparin neutralization","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85525","description":"Heparin neutralization","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.576,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatic Function Panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80076","description":"Hepatic Function Panel","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS PERITONSILLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42700","description":"I AND D ABSCESS PERITONSILLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D ABSCESS PERITONSILLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42700","description":"I AND D ABSCESS PERITONSILLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28002","description":"I AND D BELOW FASCIA FOOT 1 BURSAL SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28003","description":"I AND D BELOW FASCIA FOOT MULTIPLE AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D OF BARTHOLINS GLAND ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56420","description":"I AND D OF BARTHOLINS GLAND ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D OF BARTHOLINS GLAND ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56420","description":"I AND D OF BARTHOLINS GLAND ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PERIANAL ABSCESS SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46050","description":"I AND D PERIANAL ABSCESS SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D PERIANAL ABSCESS SUPERFICIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46050","description":"I AND D PERIANAL ABSCESS SUPERFICIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SHOULDER INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23031","description":"I AND D SHOULDER INFECTED BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SHOULDER INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23031","description":"I AND D SHOULDER INFECTED BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SUBMUCOSAL ABSCESS RECTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45005","description":"I AND D SUBMUCOSAL ABSCESS RECTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D SUBMUCOSAL ABSCESS RECTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45005","description":"I AND D SUBMUCOSAL ABSCESS RECTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D THYROGLOSSAL DUCT CYST INFECTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60000","description":"I AND D THYROGLOSSAL DUCT CYST INFECTED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D THYROGLOSSAL DUCT CYST INFECTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60000","description":"I AND D THYROGLOSSAL DUCT CYST INFECTED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57023","description":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57023","description":"I AND D VAGINAL HEMATOMA NON-OBSTETRICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42720","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42725","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42725","description":"I and D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27301","description":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27301","description":"I and D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21501","description":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21501","description":"I and D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22010","description":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":627.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22010","description":"I and D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":627.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22015","description":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22015","description":"I and D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21502","description":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21502","description":"I and D DP ABSC/HMTMA SFT TIS NCK/THRX PRTL RIB OSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21502","description":"I and D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45020","description":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45020","description":"I and D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25028","description":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25028","description":"I and D FOREARM and /WRIST DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D HEMATOMA SEROMA/FLUID COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10140","description":"I and D HEMATOMA SEROMA/FLUID COLLECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46045","description":"I and D INTRAMURAL IM/ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46045","description":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46045","description":"I and D INTRAMURAL IM/SUBMUCOSAL ABSC TRANSANAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORCT/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46060","description":"I and D ISCHIORCT/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46040","description":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46040","description":"I and D ISCHIORECTAL and /PERIRECTAL ABSCESS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46060","description":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46060","description":"I and D ISCHIORECTAL/INTRAMURAL ABSC W/WO SETON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26991","description":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26991","description":"I and D PELVIS/HIP JOINT AREA INFECTED BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26990","description":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26990","description":"I and D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23030","description":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23030","description":"I and D SHOULDER DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23930","description":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23930","description":"I and D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57022","description":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57022","description":"I and D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VULVA/PERINEAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56405","description":"I and D VULVA/PERINEAL ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"I and D VULVA/PERINEAL ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56405","description":"I and D VULVA/PERINEAL ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86318","description":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86318","description":"IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87301","description":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87301","description":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87324","description":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87324","description":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87328","description":"IAAD IA CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87328","description":"IAAD IA CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87332","description":"IAAD IA CYTOMEGALOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87332","description":"IAAD IA CYTOMEGALOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87337","description":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87337","description":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ESCHERICHIA COLI 0157","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87335","description":"IAAD IA ESCHERICHIA COLI 0157","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ESCHERICHIA COLI 0157","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87335","description":"IAAD IA ESCHERICHIA COLI 0157","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.104,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA GIARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87329","description":"IAAD IA GIARDIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA GIARDIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87329","description":"IAAD IA GIARDIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87340","description":"IAAD IA HEPATITIS B SURFACE ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87340","description":"IAAD IA HEPATITIS B SURFACE ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS BE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87350","description":"IAAD IA HEPATITIS BE ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS BE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87350","description":"IAAD IA HEPATITIS BE ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS DELTA ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87380","description":"IAAD IA HEPATITIS DELTA ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS DELTA ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87380","description":"IAAD IA HEPATITIS DELTA ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HISTOPLASM CAPSULATUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87385","description":"IAAD IA HISTOPLASM CAPSULATUM","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"IAAD IA HISTOPLASM CAPSULATUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87385","description":"IAAD IA HISTOPLASM CAPSULATUM","negotiated_rates":[{"provider_references":[210414],"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"},{"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":"IAAD IA HIV-1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87390","description":"IAAD IA HIV-1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87390","description":"IAAD IA HIV-1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1 AG W/HIV-1  and  HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87389","description":"IAAD IA HIV-1 AG W/HIV-1  and  HIV-2 ANTBDY SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1 AG W/HIV-1  and  HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87389","description":"IAAD IA HIV-1 AG W/HIV-1  and  HIV-2 ANTBDY SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87391","description":"IAAD IA HIV-2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87391","description":"IAAD IA HIV-2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87339","description":"IAAD IA HPYLORI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87339","description":"IAAD IA HPYLORI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI STOOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87338","description":"IAAD IA HPYLORI STOOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI STOOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87338","description":"IAAD IA HPYLORI STOOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.65,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87449","description":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87449","description":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87451","description":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87451","description":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87420","description":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87420","description":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87425","description":"IAAD IA ROTAVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87425","description":"IAAD IA ROTAVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87428","description":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87428","description":"IAAD IA SARSCOV  and  INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87430","description":"IAAD IA STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAAD IA STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87430","description":"IAAD IA STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87260","description":"IAADI ADENOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87260","description":"IAADI ADENOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87265","description":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87265","description":"IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87270","description":"IAADI CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87270","description":"IAADI CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87272","description":"IAADI CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87272","description":"IAADI CRYPTOSPORIDIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87271","description":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87271","description":"IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87267","description":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87267","description":"IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI GIARDIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87269","description":"IAADI GIARDIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI GIARDIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87269","description":"IAADI GIARDIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87274","description":"IAADI HERPES SMPLX VIRUS TYPE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87274","description":"IAADI HERPES SMPLX VIRUS TYPE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87273","description":"IAADI HERPES SMPLX VIRUS TYPE 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI HERPES SMPLX VIRUS TYPE 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87273","description":"IAADI HERPES SMPLX VIRUS TYPE 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFFLUENZA A VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87276","description":"IAADI INFFLUENZA A VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFFLUENZA A VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87276","description":"IAADI INFFLUENZA A VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFLUENZA B VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87275","description":"IAADI INFLUENZA B VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI INFLUENZA B VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87275","description":"IAADI INFLUENZA B VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI LEGIONELLA PNEUMOPHILA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87278","description":"IAADI LEGIONELLA PNEUMOPHILA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI LEGIONELLA PNEUMOPHILA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87278","description":"IAADI LEGIONELLA PNEUMOPHILA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87299","description":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87299","description":"IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PARAINFLUENZA VIRUS EACH TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87279","description":"IAADI PARAINFLUENZA VIRUS EACH TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PARAINFLUENZA VIRUS EACH TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87279","description":"IAADI PARAINFLUENZA VIRUS EACH TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.454,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PNEUMOCUSTIS CARINII","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87281","description":"IAADI PNEUMOCUSTIS CARINII","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI PNEUMOCUSTIS CARINII","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87281","description":"IAADI PNEUMOCUSTIS CARINII","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87300","description":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87300","description":"IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87280","description":"IAADI RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87280","description":"IAADI RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RUBEOLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87283","description":"IAADI RUBEOLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI RUBEOLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87283","description":"IAADI RUBEOLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87285","description":"IAADI TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI TREPONEMA PALLIDUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87285","description":"IAADI TREPONEMA PALLIDUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.792,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI VARICELLA ZOSTER VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87290","description":"IAADI VARICELLA ZOSTER VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADI VARICELLA ZOSTER VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87290","description":"IAADI VARICELLA ZOSTER VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.592,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO ADENOVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87809","description":"IAADIADOO ADENOVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87810","description":"IAADIADOO CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87810","description":"IAADIADOO CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87803","description":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87803","description":"IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO INFLUENZA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87804","description":"IAADIADOO INFLUENZA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO INFLUENZA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87804","description":"IAADIADOO INFLUENZA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NEISSERIA GONORRHOEAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87850","description":"IAADIADOO NEISSERIA GONORRHOEAE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NEISSERIA GONORRHOEAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87850","description":"IAADIADOO NEISSERIA GONORRHOEAE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87899","description":"IAADIADOO NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87899","description":"IAADIADOO NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87807","description":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87807","description":"IAADIADOO RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87812","description":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87812","description":"IAADIADOO SARSCOV2 and INFLUENZA VIRUS TYPES A and B","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87811","description":"IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87880","description":"IAADIADOO STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87880","description":"IAADIADOO STREPTOCOCCUS GROUP A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP B","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87802","description":"IAADIADOO STREPTOCOCCUS GROUP B","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO STREPTOCOCCUS GROUP B","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87802","description":"IAADIADOO STREPTOCOCCUS GROUP B","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO TRICHOMONAS VAGINALIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87808","description":"IAADIADOO TRICHOMONAS VAGINALIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IAADIADOO TRICHOMONAS VAGINALIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87808","description":"IAADIADOO TRICHOMONAS VAGINALIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87471","description":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87471","description":"IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87472","description":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87472","description":"IADNA BARTONELLA HENSELAE AND QUINTANA QUANTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87476","description":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87476","description":"IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87475","description":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87475","description":"IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87481","description":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87481","description":"IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87480","description":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87480","description":"IADNA CANDIDA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87482","description":"IADNA CANDIDA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CANDIDA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87482","description":"IADNA CANDIDA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87486","description":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87486","description":"IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87485","description":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87485","description":"IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87487","description":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87487","description":"IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87491","description":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87491","description":"IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87490","description":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87490","description":"IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87492","description":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87492","description":"IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87494","description":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87494","description":"IADNA CHLMYD TRCHMTS and NEISRA GONORR MULT AMP PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87496","description":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87496","description":"IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87495","description":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87495","description":"IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87497","description":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87497","description":"IADNA CYTOMEGALOVIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87634","description":"IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87634","description":"IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ENTEROVIRUS AMPLIF PROBE  AND  REVRSE TRNSCRIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87498","description":"IADNA ENTEROVIRUS AMPLIF PROBE  AND  REVRSE TRNSCRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ENTEROVIRUS AMPLIF PROBE  AND  REVRSE TRNSCRIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87498","description":"IADNA ENTEROVIRUS AMPLIF PROBE  AND  REVRSE TRNSCRIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87511","description":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87511","description":"IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87510","description":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87510","description":"IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87512","description":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87512","description":"IADNA GARDNERELLA VAGINALIS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87516","description":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87516","description":"IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87517","description":"IADNA HEPATITIS B VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS B VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87517","description":"IADNA HEPATITIS B VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87521","description":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87521","description":"IADNA HEPATITIS C AMPLIFIED PROBE AND REVRSE TRANSCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87520","description":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87520","description":"IADNA HEPATITIS C DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87522","description":"IADNA HEPATITIS C QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS C QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87522","description":"IADNA HEPATITIS C QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87526","description":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87526","description":"IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87525","description":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87525","description":"IADNA HEPATITIS G DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87527","description":"IADNA HEPATITIS G QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HEPATITIS G QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87527","description":"IADNA HEPATITIS G QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87528","description":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87528","description":"IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87529","description":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87529","description":"IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87530","description":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87530","description":"IADNA HERPES SOMPLX VIRUS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87532","description":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87532","description":"IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87531","description":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87531","description":"IADNA HERPES VIRUS-6 DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87533","description":"IADNA HERPES VIRUS-6 QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HERPES VIRUS-6 QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87533","description":"IADNA HERPES VIRUS-6 QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 AMPLIFIED PROBE  AND  REVERSE TRANSCRPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87535","description":"IADNA HIV-1 AMPLIFIED PROBE  AND  REVERSE TRANSCRPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 AMPLIFIED PROBE  AND  REVERSE TRANSCRPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87535","description":"IADNA HIV-1 AMPLIFIED PROBE  AND  REVERSE TRANSCRPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87534","description":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87534","description":"IADNA HIV-1 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87536","description":"IADNA HIV-1 QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-1 QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87536","description":"IADNA HIV-1 QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 AMPLIFIED PROBE  AND  REVERSE TRANSCRIPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87538","description":"IADNA HIV-2 AMPLIFIED PROBE  AND  REVERSE TRANSCRIPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 AMPLIFIED PROBE  AND  REVERSE TRANSCRIPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87538","description":"IADNA HIV-2 AMPLIFIED PROBE  AND  REVERSE TRANSCRIPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87537","description":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87537","description":"IADNA HIV-2 DIRECT PROBE TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HIV-2 QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87539","description":"IADNA HIV-2 QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.52,"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":"IADNA HIV-2 QUANT  AND  REVERSE TRANSCRIPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87539","description":"IADNA HIV-2 QUANT  AND  REVERSE TRANSCRIPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.52,"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":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87624","description":"IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87541","description":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87541","description":"IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87540","description":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87540","description":"IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87542","description":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87542","description":"IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87801","description":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87801","description":"IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87800","description":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87800","description":"IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87562","description":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87562","description":"IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87561","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87561","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87560","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87560","description":"IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87551","description":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87551","description":"IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87550","description":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87550","description":"IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87552","description":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87552","description":"IADNA MYCOBACTERIA SPECIES QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87556","description":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87556","description":"IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87555","description":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87555","description":"IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87557","description":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87557","description":"IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87563","description":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87563","description":"IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87581","description":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87581","description":"IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87580","description":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87580","description":"IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87582","description":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87582","description":"IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87591","description":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87591","description":"IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87590","description":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87590","description":"IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87592","description":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87592","description":"IADNA NEISSERIA GONORRHOEAE QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87798","description":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87798","description":"IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87797","description":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87797","description":"IADNA NOS DIRECT PROBE TQ EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS QUANTIFICATION EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87799","description":"IADNA NOS QUANTIFICATION EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA NOS QUANTIFICATION EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87799","description":"IADNA NOS QUANTIFICATION EACH ORGANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87593","description":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87593","description":"IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87633","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87633","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 12-25 TARGET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87631","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87631","description":"IADNA RESPIRATRY PROBE  AND  REV TRNSCR 3-5 TARGETS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87640","description":"IADNA S AUREUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87640","description":"IADNA S AUREUS AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87641","description":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87641","description":"IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87637","description":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87637","description":"IADNA SARSCOV2  and  INF A and B  and  RSV MULT AMP PROBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87636","description":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87636","description":"IADNA SARSCOV2 and  INF A and B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87651","description":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87651","description":"IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87650","description":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87650","description":"IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87652","description":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87652","description":"IADNA STREPTOCOCCUS GROUP A QUANTIFICATION","negotiated_rates":[{"provider_references":[210414],"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":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87653","description":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87653","description":"IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87661","description":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87661","description":"IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87660","description":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87660","description":"IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95028","description":"IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93650","description":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93650","description":"ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61703","description":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":865.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61703","description":"ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":865.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":865.381,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.585,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.585,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.878,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IKBKAP GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81260","description":"IKBKAP GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IKBKAP GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81260","description":"IKBKAP GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44382","description":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44382","description":"ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44380","description":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44380","description":"ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44310","description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44310","description":"ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IM ADM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMBRICATION DIAPHRAGM EVENTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39545","description":"IMBRICATION DIAPHRAGM EVENTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMBRICATION DIAPHRAGM EVENTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39545","description":"IMBRICATION DIAPHRAGM EVENTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.065,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88342","description":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88342","description":"IMHCHEM/IMCYTCHM 1ST SINGLE ANTB STAIN PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88341","description":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88341","description":"IMHCHEM/IMCYTCHM EA ADDL SINGLE ANTB STAIN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88344","description":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88344","description":"IMHCHEM/IMCYTCHM EA MULTIPLEX ANTIBODY STAIN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88342","description":"IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88341","description":"IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88344","description":"IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5410","description":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5410","description":"IMMD POSTSURG APPL RIGD DRS BK W/EA ADD CAST CHG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5460","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5460","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD ABOVE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.261,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5450","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5450","description":"IMMED POSTSURG APPLIC NONWT BEAR RIGD BELW KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5420","description":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1634.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5420","description":"IMMED POSTSURG INIT RIGD DRESS 1 CHG AK/KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1634.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1634.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5430","description":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":510.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5430","description":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":510.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6382","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1629.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1629.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6382","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1629.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1629.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6384","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2062.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2062.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6384","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2062.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2062.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6380","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1384.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6380","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1384.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6388","description":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6388","description":"IMMED POSTSURG/EARLY FIT APPLIC RIGID DRESS ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6386","description":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6386","description":"IMMED POSTSURG/EARLY FIT EA ADD CAST CHG and REALIGN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5400","description":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1353.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5400","description":"IMMED PSTSRG/ERLY FIT APPLY RIGD DRSS W/1 CHG BK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1353.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1372","description":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1372","description":"IMMERSION EXTERNAL HEATER FOR NEBULIZER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.454,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19340","description":"IMMT INSJ BRST PROSTH FLWG MASTOPEXY MAST/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE COMPLEX ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86332","description":"IMMUNE COMPLEX ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNE COMPLEX ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86332","description":"IMMUNE COMPLEX ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.45,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83518","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83518","description":"IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.481,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83519","description":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83519","description":"IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83520","description":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83520","description":"IMMUNOASSAY ANALYTE QUANTITATIVE NOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86317","description":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86317","description":"IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86294","description":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86294","description":"IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86316","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86316","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86304","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86304","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86300","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86300","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86301","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86301","description":"IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86331","description":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86331","description":"IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86329","description":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86329","description":"IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86325","description":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86325","description":"IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86320","description":"IMMUNOELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86320","description":"IMMUNOELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86335","description":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86335","description":"IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86334","description":"IMMUNOFIXJ ELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFIXJ ELECTROPHORESIS SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86334","description":"IMMUNOFIXJ ELECTROPHORESIS SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.296,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88346","description":"IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88350","description":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88350","description":"IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69714","description":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69714","description":"IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8600","description":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":764.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8600","description":"IMPLANTABLE BREAST PROSTHESIS SILICONE OR EQUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":764.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTABLE RADIATION DOSIMETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4650","description":"IMPLANTABLE RADIATION DOSIMETER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION NERVE END BONE/MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64787","description":"IMPLANTATION NERVE END BONE/MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLANTATION NERVE END BONE/MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64787","description":"IMPLANTATION NERVE END BONE/MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15777","description":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15777","description":"IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61517","description":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61517","description":"IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69714","description":"IMPLTJ OSSEOINTEGRATED TEMPORAL BONE W/MASTOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62350","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62350","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62351","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62351","description":"IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62361","description":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62361","description":"IMPLTJ/RPLCMT FS NON-PRGRBL PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62362","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62362","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62360","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62360","description":"IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21086","description":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1027.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21086","description":"IMPRESSION  AND  PREPARATION AURICULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1027.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION INTERIM OBTURATOR PROST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21079","description":"IMPRESSION  AND  PREPARATION INTERIM OBTURATOR PROST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":956.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21087","description":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1027.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21087","description":"IMPRESSION  AND  PREPARATION NASAL PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1027.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1027.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21085","description":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21085","description":"IMPRESSION  AND  PREPARATION ORAL SURGICAL SPLINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21077","description":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1383.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21077","description":"IMPRESSION  AND  PREPARATION ORBITAL PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1383.91,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.91,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21083","description":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":896.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21083","description":"IMPRESSION  AND  PREPARATION PALATAL LIFT PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":896.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21084","description":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1021.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21084","description":"IMPRESSION  AND  PREPARATION SPEECH AID PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1021.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ DEFINITIVE OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21080","description":"IMPRESSION  AND  PREPJ DEFINITIVE OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1088.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ MANDIBULAR RESECTION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21081","description":"IMPRESSION  AND  PREPJ MANDIBULAR RESECTION PROSTHES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1003.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  AND  PREPJ PALATAL AUGMENTATION PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION  AND  PREPJ PALATAL AUGMENTATION PROSTHES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21080","description":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1088.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21080","description":"IMPRESSION  and  PREPJ DEFINITIVE OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1088.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21081","description":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1003.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21081","description":"IMPRESSION  and  PREPJ MANDIBULAR RESECTION PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1003.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1003.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21082","description":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21082","description":"IMPRESSION  and  PREPJ PALATAL AUGMENTATION PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION AND PREPARATION SURG OBTURATOR PROSTHES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21079","description":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":956.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21079","description":"IMPRESSION and PREPARATION INTERIM OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":956.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21076","description":"IMPRESSION and PREPARATION SURGICAL OBTURATOR PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88365","description":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88365","description":"IN SITU HYBRIDIZATION 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88364","description":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88364","description":"IN SITU HYBRIDIZATION EA ADDL PROBE STAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35585","description":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35585","description":"IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYP POP-TIBL PRONEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35587","description":"IN-SITU VEIN BYP POP-TIBL PRONEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYP POP-TIBL PRONEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35587","description":"IN-SITU VEIN BYP POP-TIBL PRONEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35583","description":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":866.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35583","description":"IN-SITU VEIN BYPASS FEMORAL-POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":866.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23935","description":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23935","description":"INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27303","description":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27303","description":"INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ CRNL NRV NSTIM ELTRDS  AND  PULSE GENER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64568","description":"INC IMPLTJ CRNL NRV NSTIM ELTRDS  AND  PULSE GENER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64581","description":"INC IMPLTJ NEUROSTIMULATOR ELTRD SACRAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64580","description":"INC IMPLTJ NSTIM ELTRD NEUROMUSCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64575","description":"INC IMPLTJ PERIPH NERVE NEUROSTIMULATOR ELTRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62148","description":"INCISE AND RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10180","description":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10180","description":"INCISION  AND  DRAINAGE COMPLEX PO WOUND INFECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10081","description":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10081","description":"INCISION  AND  DRAINAGE PILONIDAL CYST COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10080","description":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10080","description":"INCISION  AND  DRAINAGE PILONIDAL CYST SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.426,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.886,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  AND  SUBCUTANEOUS PLMT CRANIAL BONE GRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61316","description":"INCISION  AND  SUBCUTANEOUS PLMT CRANIAL BONE GRAF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10061","description":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10061","description":"INCISION  and  DRAINAGE ABSCESS COMPLICATED/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25031","description":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25031","description":"INCISION  and  DRAINAGE FOREARM and /WRIST BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27603","description":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27603","description":"INCISION  and  DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27604","description":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27604","description":"INCISION  and  DRAINAGE LEG/ANKLE INFECTED BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.388,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.886,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION ANAL SEPTUM INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46070","description":"INCISION ANAL SEPTUM INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44900","description":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44900","description":"INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION AND DRAINAGE BURSA FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28001","description":"INCISION AND DRAINAGE BURSA FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28005","description":"INCISION BONE CORTEX FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26034","description":"INCISION BONE CORTEX HAND/FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26034","description":"INCISION BONE CORTEX HAND/FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX PELVIS and /HIP JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26992","description":"INCISION BONE CORTEX PELVIS and /HIP JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX PELVIS and /HIP JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26992","description":"INCISION BONE CORTEX PELVIS and /HIP JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX SHOULDER AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23035","description":"INCISION BONE CORTEX SHOULDER AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION BONE CORTEX SHOULDER AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23035","description":"INCISION BONE CORTEX SHOULDER AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25035","description":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25035","description":"INCISION DEEP BONE CORTEX FOREARM and /WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP OPENING BONE CORTEX THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21510","description":"INCISION DEEP OPENING BONE CORTEX THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION DEEP OPENING BONE CORTEX THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21510","description":"INCISION DEEP OPENING BONE CORTEX THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION EXTENSOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25000","description":"INCISION EXTENSOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION EXTENSOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25000","description":"INCISION EXTENSOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION FLEXOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25001","description":"INCISION FLEXOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION FLEXOR TENDON SHEATH WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25001","description":"INCISION FLEXOR TENDON SHEATH WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LABIAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40806","description":"INCISION LABIAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LABIAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40806","description":"INCISION LABIAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LEG/ANKLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27607","description":"INCISION LEG/ANKLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LINGUAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41010","description":"INCISION LINGUAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION LINGUAL FRENUM FRENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41010","description":"INCISION LINGUAL FRENUM FRENOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION THROMBOSED HEMORRHOID EXTERNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46083","description":"INCISION THROMBOSED HEMORRHOID EXTERNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION THROMBOSED HEMORRHOID EXTERNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46083","description":"INCISION THROMBOSED HEMORRHOID EXTERNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23931","description":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23931","description":"INCISION and DRAINAGE UPPER ARM/ELBOW BURSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61316","description":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61316","description":"INCISION and SUBCUTANEOUS PLMT CRANIAL BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCISIONAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11106","description":"INCISIONAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"T4537","description":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T4537","description":"INCONT PROD PROTVE UNDPAD REUSABLE BED SIZE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.585,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE GARMENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4520","description":"INCONTINENCE GARMENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"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":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4336","description":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4336","description":"INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4335","description":"INCONTINENCE SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"INCONTINENCE SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4335","description":"INCONTINENCE SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9571","description":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9571","description":"INDIUM IN-111 AUTOLOGOUS PLATELETS DX STUDY DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9570","description":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9570","description":"INDIUM IN-111 AUTOLOGOUS WBC DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9507","description":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9507","description":"INDIUM IN-111 CAPROMAB PENDETIDE DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9542","description":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9542","description":"INDIUM IN-111 IBRITUMOMAB TIUXETAN DX TO 5 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9547","description":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9547","description":"INDIUM IN-111 OXYQUINOLINE DX PER 0.5 MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9548","description":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9548","description":"INDIUM IN-111 PENTETATE DX PER 0.5 MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9572","description":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9572","description":"INDIUM IN-111 PENTETREOTIDE DX DOSE TO 6 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4642","description":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1864.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1864.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4642","description":"INDIUM IN-111 SATUMOMAB PENDETIDE DX UP TO 6 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1864.676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1864.676,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92240","description":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92240","description":"INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I and R UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59851","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59851","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS D and C","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59852","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59852","description":"INDUCE ABORT 1 OR GT  AMNIOT NJXS DLVR FETUS HYSTOTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59856","description":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59856","description":"INDUCED ABORT 1 OR GT  VAG SUPP DLVR FETUS D and C  and /E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59857","description":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59857","description":"INDUCED ABORT 1 OR GT  VAG SUPPOS DLVR FETUS HYSTOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59855","description":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59855","description":"INDUCED ABORT 1 OR GT  VAG SUPPOSITORIES DLVR FETUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59850","description":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59850","description":"INDUCED ABORTION 1 OR GT  AMNIOTIC INJX W/D and C/EVACJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION  AND  EVACUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59841","description":"INDUCED ABORTION DILATION  AND  EVACUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION  AND  EVACUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59841","description":"INDUCED ABORTION DILATION  AND  EVACUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND CURETTAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59840","description":"INDUCED ABORTION DILATION AND CURETTAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCED ABORTION DILATION AND CURETTAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59840","description":"INDUCED ABORTION DILATION AND CURETTAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93618","description":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93618","description":"INDUCTION ARRHYTHMIA ELECTRICAL PACING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.759,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4338","description":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4338","description":"INDWELL CATH; FOLEY TYPE TWO-WAY LATEX W/COAT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.443,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4346","description":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4346","description":"INDWELL CATH; FOLY TYPE 3-WAY CONT IRRIGATION EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4344","description":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4344","description":"INDWELLING CATH FOLEY TYPE TWO-WAY ALL SIL/PU EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATHETER; SPECIALTY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4340","description":"INDWELLING CATHETER; SPECIALTY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INDWELLING CATHETER; SPECIALTY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4340","description":"INDWELLING CATHETER; SPECIALTY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87493","description":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87493","description":"INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87502","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87502","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87501","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87501","description":"INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87500","description":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87500","description":"INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61591","description":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1948.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1948.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61591","description":"INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR and /MOBI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1948.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1948.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61590","description":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1907.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1907.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61590","description":"INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1907.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1907.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4230","description":"INFUS SET EXT INSULIN PUMP NONNDLE CANNULA TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4222","description":"INFUS SPL EXT RX INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4223","description":"INFUS SPL NOT USED W/EXT INFUS PUMP CASSETTE/BAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION D-5-W 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7070","description":"INFUSION D-5-W 1000 CC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 40500 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7100","description":"INFUSION DEXTRAN 40500 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION DEXTRAN 75500 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7110","description":"INFUSION DEXTRAN 75500 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.972,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 1000 CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7030","description":"INFUSION NORMAL SALINE SOLUTION 1000 CC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION 1000 CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7030","description":"INFUSION NORMAL SALINE SOLUTION 1000 CC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION STERILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7040","description":"INFUSION NORMAL SALINE SOLUTION STERILE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION NORMAL SALINE SOLUTION STERILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7040","description":"INFUSION NORMAL SALINE SOLUTION STERILE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4231","description":"INFUSION SET EXTERNAL INSULIN PUMP NEEDLE TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95079","description":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95079","description":"INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95076","description":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95076","description":"INGESTION CHALLENGE TEST INITIAL 120 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38760","description":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38760","description":"INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38765","description":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38765","description":"INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHIBIN A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86336","description":"INHIBIN A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHIBIN A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86336","description":"INHIBIN A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95070","description":"INHLJ BRNCL CHALLENGE TSTG W/HISTAMINE/METHACHOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5505","description":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1760.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5505","description":"INIT ABVE KNEE-DISARTC ISCH LEVL SOCKT NON-ALIGN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1760.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5500","description":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1299.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5500","description":"INIT BELOW KNEE PTB SOCKET NON-ALIGN DIR FORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1299.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1299.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99477","description":"INITIAL HOSP NEONATE 28 D OR LT  NOT CRITICALLY ILL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99221","description":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.81,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99306","description":"INITIAL NURSING FACILITY CARE HI MDM 50 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99305","description":"INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99304","description":"INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99304","description":"INITIAL NURSING FACILITY CARE/DAY 25 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99305","description":"INITIAL NURSING FACILITY CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99306","description":"INITIAL NURSING FACILITY CARE/DAY 45 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99475","description":"INITIAL PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99471","description":"INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT  LT 1YEAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL TX 1ST DEGREE BURN LOCAL TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"16000","description":"INITIAL TX 1ST DEGREE BURN LOCAL TX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INITIAL TX 1ST DEGREE BURN LOCAL TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"16000","description":"INITIAL TX 1ST DEGREE BURN LOCAL TX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.247,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.247,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.42,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.42,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.42,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0702","description":"INJ BETAMETHASONE ACETATE  AND  PHOSPHATE 3 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0520","description":"INJ BETHANECHOL CHLORIDE UP TO 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8606","description":"INJ BULK AGT SYNTH IMPL URIN TRACT 1 ML SYRINGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0620","description":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0620","description":"INJ CALCM GLYCEROPHOSPHATE AND CALCM LACTAT-10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0882","description":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0882","description":"INJ DARBEPOETIN ALFA 1 MCG FOR ESRD DIALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7195","description":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7195","description":"INJ FACTOR IX PER IU NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9577","description":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9577","description":"INJ GADOBENATE DIMEGLUMINE MULTIHANCE PER ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9578","description":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9578","description":"INJ GADOBENATE DIMEGLUMINE MXHANCE MXPACK PER ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.819,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3472","description":"INJ HYALURONIDASE OVINE PRES FREE-1000 USP UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1720","description":"INJ HYDROCORTISONE SODIUM SUCCINATE TO 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IBUTILIDE FUMARATE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1742","description":"INJ IBUTILIDE FUMARATE 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IBUTILIDE FUMARATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1742","description":"INJ IBUTILIDE FUMARATE 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.268,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.44,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.44,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.129,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.129,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1459","description":"INJ IG PRIVIGEN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1459","description":"INJ IMMUNE GLOBULIN IV NONLYOPHILIZED 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2353","description":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2353","description":"INJ OCTREOTIDE DEPOT FORM IM INJ 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.087,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5120","description":"INJ PEGFILGRASTIM-BMEZ BIOSIMLR ZIEXTENZO 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.502,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9316","description":"INJ PERTUZUMAB TRASTUZUMAB  and  HYAL-ZZXF PER 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.056,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2543","description":"INJ PIPERACILLIN SOD/TAZOBACTAM SOD 1 G/0.125 G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PROCHLORPERAZINE TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0780","description":"INJ PROCHLORPERAZINE TO 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50684","description":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50684","description":"INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38792","description":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38792","description":"INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.686,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.686,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2788","description":"INJ RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2916","description":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2916","description":"INJ SODIM FERRIC GLUCONATE CMPLX SUCROSE 12.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3240","description":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2337.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2337.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2338.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2338.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3240","description":"INJ THYROTROPIN ALPHA 0.9 MG PROV 1.1 MG VIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2337.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2337.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2338.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2338.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PRES FREE 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49427","description":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49427","description":"INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27096","description":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27096","description":"INJECT SI JOINT ARTHRGRPHY and /ANES/STEROID W/IMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTABLE ANESTHETIC FOR DIALYSIS PER 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4737","description":"INJECTABLE ANESTHETIC FOR DIALYSIS PER 10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20550","description":"INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64417","description":"INJECTION AA and /STRD AXILLARY NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64416","description":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64416","description":"INJECTION AA and /STRD BRACH PLEX CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64416","description":"INJECTION AA and /STRD BRACHIAL PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64415","description":"INJECTION AA and /STRD BRACHIAL PLEXUS W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64448","description":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64448","description":"INJECTION AA and /STRD FEMORAL NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64447","description":"INJECTION AA and /STRD FEMORAL NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64405","description":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64405","description":"INJECTION AA and /STRD GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64425","description":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64425","description":"INJECTION AA and /STRD ILIOINGUINAL IH NERVES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64421","description":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64421","description":"INJECTION AA and /STRD INTERCOSTAL NRV EA ADDL LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64420","description":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64420","description":"INJECTION AA and /STRD INTERCOSTAL NRV SINGLE LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64449","description":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64449","description":"INJECTION AA and /STRD LUMBAR PLEXUS CONT NFS CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64450","description":"INJECTION AA and /STRD OTHER PERIPHERAL NERVE/BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PARACERVICAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64435","description":"INJECTION AA and /STRD PARACERVICAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PARACERVICAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64435","description":"INJECTION AA and /STRD PARACERVICAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64430","description":"INJECTION AA and /STRD PUDENDAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD PUDENDAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64430","description":"INJECTION AA and /STRD PUDENDAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE CONT NFS CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NERVE CONT NFS CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64445","description":"INJECTION AA and /STRD SCIATIC NERVE W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64446","description":"INJECTION AA and /STRD SCIATIC NRV CONT NFS CATH IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64418","description":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64418","description":"INJECTION AA and /STRD SUPRASCAPULAR NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64400","description":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64400","description":"INJECTION AA and /STRD TRIGEMINAL NERVE EACH BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64408","description":"INJECTION AA and /STRD VAGUS NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AA and /STRD VAGUS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64408","description":"INJECTION AA and /STRD VAGUS NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1571.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ABCIXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0130","description":"INJECTION ABCIXIMAB 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1571.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1571.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1120","description":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1120","description":"INJECTION ACETAZOLAMIDE SODIUM UP TO 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0178","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":840.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AFLIBERCEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0178","description":"INJECTION AFLIBERCEPT 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":840.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":840.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AGALSIDASE BETA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0180","description":"INJECTION AGALSIDASE BETA 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AGALSIDASE BETA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0180","description":"INJECTION AGALSIDASE BETA 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49400","description":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49400","description":"INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5151.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5151.96,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5151.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5151.96,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.907,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.907,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ALTEPLASE RECOMBINANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2997","description":"INJECTION ALTEPLASE RECOMBINANT 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.599,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1249.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMIFOSTINE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0207","description":"INJECTION AMIFOSTINE 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1249.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1249.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLIN UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLIN UP TO 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMINOPHYLLINE UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0280","description":"INJECTION AMINOPHYLLINE UP TO 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMOBARBITAL UP TO 125 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0300","description":"INJECTION AMOBARBITAL UP TO 125 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMOBARBITAL UP TO 125 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0300","description":"INJECTION AMOBARBITAL UP TO 125 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0295","description":"INJECTION AMPCLLN SODIUM/SULBACTAM SODIUM-1.5 G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0285","description":"INJECTION AMPHOTERICIN B 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0285","description":"INJECTION AMPHOTERICIN B 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0287","description":"INJECTION AMPHOTERICIN B LIPID COMPLEX 10 MG","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"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":[210414],"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"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0289","description":"INJECTION AMPHOTERICIN B LIPOSOME 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64505","description":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64505","description":"INJECTION ANES AGENT SPHENOPALATINE GANGLION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64520","description":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64520","description":"INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64517","description":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64517","description":"INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ANKLE ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27648","description":"INJECTION ANKLE ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.289,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION APREPITANT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0185","description":"INJECTION APREPITANT 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.881,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.881,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.129,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.129,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION AZITHROMYCIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0456","description":"INJECTION AZITHROMYCIN 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0475","description":"INJECTION BACLOFEN 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0476","description":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0476","description":"INJECTION BACLOFEN 50 MCG FOR INTRATHECAL TRIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BASILIXIMAB 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0480","description":"INJECTION BASILIXIMAB 20 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5259.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5259.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5293.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5293.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BASILIXIMAB 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0480","description":"INJECTION BASILIXIMAB 20 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5259.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5259.177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5293.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5293.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELATACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0485","description":"INJECTION BELATACEPT 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BELATACEPT 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0485","description":"INJECTION BELATACEPT 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BENZTROPINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0515","description":"INJECTION BENZTROPINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BEVACIZUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9035","description":"INJECTION BEVACIZUMAB 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.796,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.796,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.322,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1835.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1835.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1848.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1848.231,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1835.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1835.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1848.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1848.231,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2196.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2196.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2198.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2198.383,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2196.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2196.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2198.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2198.383,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION BUTORPHANOL TARTRATE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0595","description":"INJECTION BUTORPHANOL TARTRATE 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0741","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0741","description":"INJECTION CABOTEGRAVIR  and  RILPIVIRINE 2MG/3MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0739","description":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0739","description":"INJECTION CABOTEGRAVIR 1 MG FDA-APPROVED PRSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0630","description":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":880.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0630","description":"INJECTION CALCITONIN-SALMON UP TO 400 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":880.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.0,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.98,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.98,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CASPOFUNGIN ACETATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0637","description":"INJECTION CASPOFUNGIN ACETATE 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0692","description":"INJECTION CEFEPIME HYDROCHLORIDE 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOTAXIME SODIUM PER G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0698","description":"INJECTION CEFOTAXIME SODIUM PER G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFOXITIN SODIUM 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0694","description":"INJECTION CEFOXITIN SODIUM 1 G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CEFTAZIDIME PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0713","description":"INJECTION CEFTAZIDIME PER 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.617,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CETUXIMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9055","description":"INJECTION CETUXIMAB 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1990","description":"INJECTION CHLORDIAZEPOXIDE HCL UP TO 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.31,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROQUINE HCL UP TO 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0390","description":"INJECTION CHLOROQUINE HCL UP TO 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1205","description":"INJECTION CHLOROTHIAZIDE SODIUM PER 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3230","description":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3230","description":"INJECTION CHLORPROMAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIDOFOVIR 375 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0740","description":"INJECTION CIDOFOVIR 375 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":576.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIDOFOVIR 375 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0740","description":"INJECTION CIDOFOVIR 375 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":576.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":576.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.869,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.869,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0743","description":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0743","description":"INJECTION CILASTATIN SODIUM IMIPENEM PER 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0744","description":"INJECTION CIPROFLOXACIN INTRAVENOUS INFUS 200 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.603,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.603,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.807,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.807,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0735","description":"INJECTION CLONIDINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0770","description":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0770","description":"INJECTION COLISTIMETHATE SODIUM UP TO 150 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54235","description":"INJECTION CORPORA CAVERNOSA PHARMACOLOGIC AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION COSYNTROPIN 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0834","description":"INJECTION COSYNTROPIN 0.25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION CYCLOSPORINE 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7516","description":"INJECTION CYCLOSPORINE 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.62,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.62,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1989.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1989.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.471,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1989.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1989.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1989.471,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.437,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.437,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DALTEPARIN SODIUM PER 2500 IU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1645","description":"INJECTION DALTEPARIN SODIUM PER 2500 IU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9144","description":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9144","description":"INJECTION DARATUMUMAB 10 MG  and  HYALURONIDASE-FIHJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.566,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0881","description":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0881","description":"INJECTION DARBEPOETIN ALFA 1 MCG NON-ESRD USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DAUNORUBICIN 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9150","description":"INJECTION DAUNORUBICIN 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.963,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.963,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEFEROXAMINE MESYLATE 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0895","description":"INJECTION DEFEROXAMINE MESYLATE 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1000","description":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1000","description":"INJECTION DEPO-ESTRADIOL CYPIONATE UP TO 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.002,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2597","description":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2597","description":"INJECTION DESMOPRESSIN ACETATE PER 1 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1190","description":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1190","description":"INJECTION DEXRAZOXANE HYDROCHLORIDE PER 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZEPAM UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3360","description":"INJECTION DIAZEPAM UP TO 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZOXIDE UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1730","description":"INJECTION DIAZOXIDE UP TO 300 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIAZOXIDE UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1730","description":"INJECTION DIAZOXIDE UP TO 300 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICYCLOMINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0500","description":"INJECTION DICYCLOMINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DICYCLOMINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0500","description":"INJECTION DICYCLOMINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.307,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1162","description":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5683.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5683.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1162","description":"INJECTION DIGOXIN IMMUNE FAB OVINE PER VIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5683.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5683.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIGOXIN UP TO 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1160","description":"INJECTION DIGOXIN UP TO 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1110","description":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1110","description":"INJECTION DIHYDROERGOTAMINE MESYLATE PER 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.379,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMENHYDRINATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1240","description":"INJECTION DIMENHYDRINATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMENHYDRINATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1240","description":"INJECTION DIMENHYDRINATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DIMERCAPROL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0470","description":"INJECTION DIMERCAPROL PER 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1212","description":"INJECTION DMSO DIMETHYL SULFOXIDE 50 PCT  50 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOBUTAMINE HCI PER 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1250","description":"INJECTION DOBUTAMINE HCI PER 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOBUTAMINE HCI PER 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1250","description":"INJECTION DOBUTAMINE HCI PER 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DOLASETRON MESYLATE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1260","description":"INJECTION DOLASETRON MESYLATE 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.046,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.046,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DROPERIDOL UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1790","description":"INJECTION DROPERIDOL UP TO 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DURVALUMAB 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9173","description":"INJECTION DURVALUMAB 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.897,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION DYPHYLLINE UP TO 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1180","description":"INJECTION DYPHYLLINE UP TO 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1301","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[210414],"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":"INJECTION EDARAVONE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1301","description":"INJECTION EDARAVONE 1 MG","negotiated_rates":[{"provider_references":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6713.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6713.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6830.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6830.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0600","description":"INJECTION EDETATE CALCIUM DISODIUM UP TO 1000 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6713.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6713.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6830.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6830.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24220","description":"INJECTION ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENZYME PALMAR FASCIAL CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20527","description":"INJECTION ENZYME PALMAR FASCIAL CORD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ENZYME PALMAR FASCIAL CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20527","description":"INJECTION ENZYME PALMAR FASCIAL CORD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIDURAL BLOOD/CLOT PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62273","description":"INJECTION EPIDURAL BLOOD/CLOT PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPIDURAL BLOOD/CLOT PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62273","description":"INJECTION EPIDURAL BLOOD/CLOT PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.152,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0885","description":"INJECTION EPOETIN ALFA FOR NON-ESRD 1000 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.041,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.215,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.215,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTIFIBATIDE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1327","description":"INJECTION EPTIFIBATIDE 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION EPTINEZUMAB-JJMR 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3032","description":"INJECTION EPTINEZUMAB-JJMR 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERTAPENEM SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1335","description":"INJECTION ERTAPENEM SODIUM 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERTAPENEM SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1335","description":"INJECTION ERTAPENEM SODIUM 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.942,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1364","description":"INJECTION ERYTHROMYCIN LACTOBIONATE PER 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1380","description":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1380","description":"INJECTION ESTRADIOL VALERATE UP TO 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTROGEN CONJUGATED PER 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1410","description":"INJECTION ESTROGEN CONJUGATED PER 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ESTROGEN CONJUGATED PER 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1410","description":"INJECTION ESTROGEN CONJUGATED PER 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETANERCEPT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1438","description":"INJECTION ETANERCEPT 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1090.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.826,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1090.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1090.826,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETHANOLAMINE OLEATE 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1430","description":"INJECTION ETHANOLAMINE OLEATE 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.493,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETIDRONATE DISODIUM PER 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1436","description":"INJECTION ETIDRONATE DISODIUM PER 300 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ETIDRONATE DISODIUM PER 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1436","description":"INJECTION ETIDRONATE DISODIUM PER 300 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.522,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.144,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.144,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9358","description":"INJECTION FAM-TRASTUZUMAB DERUXTECAN-NXKI 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FENTANYL CITRATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3010","description":"INJECTION FENTANYL CITRATE 0.1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FENTANYL CITRATE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3010","description":"INJECTION FENTANYL CITRATE 0.1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLOXURIDINE 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9200","description":"INJECTION FLOXURIDINE 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4676.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4676.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4680.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4680.412,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4676.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4676.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4680.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4680.412,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FLUCONAZOLE 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1450","description":"INJECTION FLUCONAZOLE 200 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.551,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.551,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.266,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.266,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOMEPIZOLE 15 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1451","description":"INJECTION FOMEPIZOLE 15 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSCARNET SODIUM PER 1000 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1455","description":"INJECTION FOSCARNET SODIUM PER 1000 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FOSCARNET SODIUM PER 1000 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1455","description":"INJECTION FOSCARNET SODIUM PER 1000 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.196,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.196,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION FULVESTRANT 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9395","description":"INJECTION FULVESTRANT 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.292,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.292,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9579","description":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9579","description":"INJECTION GADOLINIUM BASED MR CONTRAST NOS ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9576","description":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9576","description":"INJECTION GADOTERIDOL PROHANCE MULTIPACK PER ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.319,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.972,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.319,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GANCICLOVIR SODIUM 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1570","description":"INJECTION GANCICLOVIR SODIUM 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1580","description":"INJECTION GARAMYCIN GENTAMICIN UP TO 80 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.387,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLATIRAMER ACETATE 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1595","description":"INJECTION GLATIRAMER ACETATE 20 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1610","description":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1610","description":"INJECTION GLUCAGON HYDROCHLORIDE PER 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1600","description":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1600","description":"INJECTION GOLD SODIUM THIOMALATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1640","description":"INJECTION HEMIN 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HEMIN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1640","description":"INJECTION HEMIN 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27095","description":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27095","description":"INJECTION HIP ARTHROGRAPHY W/ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27093","description":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27093","description":"INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.428,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.428,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYALURONIDASE UP TO 150 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3470","description":"INJECTION HYALURONIDASE UP TO 150 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDRALAZINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0360","description":"INJECTION HYDRALAZINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDRALAZINE HCL UP TO 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0360","description":"INJECTION HYDRALAZINE HCL UP TO 20 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYDROXYZINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3410","description":"INJECTION HYDROXYZINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.687,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1980","description":"INJECTION HYOSCYAMINE SULFATE UP TO 0.25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.055,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.055,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.055,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.703,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.703,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INCLISIRAN 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1306","description":"INJECTION INCLISIRAN 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.662,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.662,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.583,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.583,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2978.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2978.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9216","description":"INJECTION INTERFERON GAMMA-1B 3 MILLION UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2978.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2978.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL  GT 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11901","description":"INJECTION INTRALESIONAL  GT 7 LESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL  GT 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11901","description":"INJECTION INTRALESIONAL  GT 7 LESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11900","description":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11900","description":"INJECTION INTRALESIONAL UP TO  AND  INCLUD 7 LESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48400","description":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48400","description":"INJECTION INTRAOPERATIVE PANCREATOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRINOTECAN 20 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9206","description":"INJECTION IRINOTECAN 20 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION IRON DEXTRAN 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1750","description":"INJECTION IRON DEXTRAN 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ITRACONAZOLE 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1835","description":"INJECTION ITRACONAZOLE 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ITRACONAZOLE 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1835","description":"INJECTION ITRACONAZOLE 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.068,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.978,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1930","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.292,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LARONIDASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1931","description":"INJECTION LARONIDASE 0.1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.945,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LARONIDASE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1931","description":"INJECTION LARONIDASE 0.1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.945,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0640","description":"INJECTION LEUCOVORIN CALCIUM PER 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1940.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1940.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1942.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1942.127,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1940.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1940.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1942.127,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1942.127,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOCARNITINE PER 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1955","description":"INJECTION LEVOCARNITINE PER 1 G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOFLOXACIN 250 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1956","description":"INJECTION LEVOFLOXACIN 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVOFLOXACIN 250 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1956","description":"INJECTION LEVOFLOXACIN 250 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1960","description":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1960","description":"INJECTION LEVORPHANOL TARTRATE UP TO 2 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINCOMYCIN HCL UP TO 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2010","description":"INJECTION LINCOMYCIN HCL UP TO 300 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINEZOLID 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2020","description":"INJECTION LINEZOLID 200 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LINEZOLID 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2020","description":"INJECTION LINEZOLID 200 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION LORAZEPAM 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2060","description":"INJECTION LORAZEPAM 2 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19030","description":"INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.892,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.892,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCI NOS 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9245","description":"INJECTION MELPHALAN HCI NOS 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPERIDINE HCL PER 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2175","description":"INJECTION MEPERIDINE HCL PER 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.702,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MEPIVACAINE HCL PER 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0670","description":"INJECTION MEPIVACAINE HCL PER 10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MESNA 200 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9209","description":"INJECTION MESNA 200 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHADONE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1230","description":"INJECTION METHADONE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHOCARBAMOL UP TO 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2800","description":"INJECTION METHOCARBAMOL UP TO 10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"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":[210414],"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":"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":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2210","description":"INJECTION METHYLERGONOVINE MALEATE UP TO 0.2 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2765","description":"INJECTION METOCLOPRAMIDE HCL UP TO 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MILRINONE LACTATE 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2260","description":"INJECTION MILRINONE LACTATE 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MILRINONE LACTATE 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2260","description":"INJECTION MILRINONE LACTATE 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.298,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MITOMYCIN 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9280","description":"INJECTION MITOMYCIN 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.71,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.471,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.471,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MORPHINE SULFATE UP TO 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2270","description":"INJECTION MORPHINE SULFATE UP TO 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXIFLOXACIN 100 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2280","description":"INJECTION MOXIFLOXACIN 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION MOXIFLOXACIN 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2280","description":"INJECTION MOXIFLOXACIN 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.614,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.614,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALBUPHINE HCL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2300","description":"INJECTION NALBUPHINE HCL PER 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NALBUPHINE HCL PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2300","description":"INJECTION NALBUPHINE HCL PER 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2320","description":"INJECTION NANDROLONE DECANOATE UP TO 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NESIRITIDE 0.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2325","description":"INJECTION NESIRITIDE 0.1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9299","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION NIVOLUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9299","description":"INJECTION NIVOLUMAB 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2350","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OCRELIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2350","description":"INJECTION OCRELIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.231,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.231,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.05,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.002,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.05,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OPRELVEKIN 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2355","description":"INJECTION OPRELVEKIN 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2360","description":"INJECTION ORPHENADRINE CITRATE UP TO 60 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYMORPHONE HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2410","description":"INJECTION OXYMORPHONE HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION OXYMORPHONE HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2410","description":"INJECTION OXYMORPHONE HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.135,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.998,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIFERMIN 50 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2425","description":"INJECTION PALIFERMIN 50 MICROGRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2426","description":"INJECTION PALIPERIDONE PALMITATE EXT RLSE 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2430","description":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2430","description":"INJECTION PAMIDRONATE DISODIUM PER 30 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PAPAVERINE HCL UP TO 60 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2440","description":"INJECTION PAPAVERINE HCL UP TO 60 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PARICALCITOL 1 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2501","description":"INJECTION PARICALCITOL 1 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PARICALCITOL 1 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2501","description":"INJECTION PARICALCITOL 1 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0558","description":"INJECTION PCN G BENZ PCN G PROCAINE 100000 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.482,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2510","description":"INJECTION PCN G PROCAINE AQUEOUS TO 600000 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.482,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.482,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31266.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31266.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9266","description":"INJECTION PEGASPARGASE PER SINGLE DOSE VIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31266.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31266.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5122","description":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5122","description":"INJECTION PEGFILGRASTIM-APGF BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.641,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q5120","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q5120","description":"INJECTION PEGFILGRASTIM-BMEZ BIOSIMILAR 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.502,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.189,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMBROLIZUMAB 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9271","description":"INJECTION PEMBROLIZUMAB 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED NOS10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9305","description":"INJECTION PEMETREXED NOS10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.444,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.444,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.444,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0561","description":"INJECTION PENICILLIN G BENZATHINE 100000 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.167,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAZOCINE 30 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3070","description":"INJECTION PENTAZOCINE 30 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTAZOCINE 30 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3070","description":"INJECTION PENTAZOCINE 30 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2515","description":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2515","description":"INJECTION PENTOBARBITAL SODIUM PER 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.2,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2790.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2790.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2888.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2888.963,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2790.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2790.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2888.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2888.963,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.722,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.722,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2560","description":"INJECTION PHENOBARBITAL SODIUM UP TO 120 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.015,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2760","description":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2760","description":"INJECTION PHENTOLAMINE MESYLATE UP TO 5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PHYTONADIONE PER 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3430","description":"INJECTION PHYTONADIONE PER 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25655.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25655.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PORFIMER SODIUM 75 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J9600","description":"INJECTION PORFIMER SODIUM 75 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25655.3,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25655.3,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2426","description":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2426","description":"INJECTION PP LAI EXT RLS INVEGA SUSTENNA 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2730","description":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2730","description":"INJECTION PRALIDOXIME CHLORIDE UP TO 1 GM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2690","description":"INJECTION PROCAINAMIDE HCL UP TO 1 GM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.983,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24220","description":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24220","description":"INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38790","description":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38790","description":"INJECTION PROCEDURE LYMPHANGIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62284","description":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62284","description":"INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SIALOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42550","description":"INJECTION PROCEDURE SIALOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SIALOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42550","description":"INJECTION PROCEDURE SIALOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SPLENOPORTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38200","description":"INJECTION PROCEDURE SPLENOPORTOGRAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROCEDURE SPLENOPORTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38200","description":"INJECTION PROCEDURE SPLENOPORTOGRAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROMETHAZINE HCL UP TO 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2550","description":"INJECTION PROMETHAZINE HCL UP TO 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROPRANOLOL HCL UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1800","description":"INJECTION PROPRANOLOL HCL UP TO 1 MG","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"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":[210414],"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"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTAMINE SULFATE PER 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2720","description":"INJECTION PROTAMINE SULFATE PER 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTIRELIN PER 250 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2725","description":"INJECTION PROTIRELIN PER 250 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PROTIRELIN PER 250 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2725","description":"INJECTION PROTIRELIN PER 250 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62290","description":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62290","description":"INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62291","description":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62291","description":"INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19030","description":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19030","description":"INJECTION PX ONLY MAMMARY DUCTOGRAM/GALACTOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36002","description":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36002","description":"INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION PYRIDOXINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3415","description":"INJECTION PYRIDOXINE HCL 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.116,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2770","description":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2770","description":"INJECTION QUINUPRISTIN/DALFOPRISTIN 500 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.367,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RASBURICASE 0.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2783","description":"INJECTION RASBURICASE 0.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION REGADENOSON 0.1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2785","description":"INJECTION REGADENOSON 0.1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"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 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"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 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3323.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3323.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RETEPLASE 18.1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2993","description":"INJECTION RETEPLASE 18.1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3323.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3323.144,"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":[210414],"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":88.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.583,"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":[210414],"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":88.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.583,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0587","description":"INJECTION RIMABOTULINUMTOXINB 100 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.619,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.408,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.408,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SARGRAMOSTIM 50 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2820","description":"INJECTION SARGRAMOSTIM 50 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.079,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36471","description":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36471","description":"INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36470","description":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36470","description":"INJECTION SCLEROSANT SINGLE INCMPTNT VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46500","description":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46500","description":"INJECTION SCLEROSING SOLUTION HEMORRHOIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.426,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2850","description":"INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23350","description":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23350","description":"INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINCALIDE 5 MICROGRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2805","description":"INJECTION SINCALIDE 5 MICROGRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.143,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE TENDON ORIGIN/INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20551","description":"INJECTION SINGLE TENDON ORIGIN/INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20552","description":"INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20553","description":"INJECTION SINGLE/MLT TRIGGER POINT 3 OR GT  MUSCLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20501","description":"INJECTION SINUS TRACT DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20501","description":"INJECTION SINUS TRACT DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20500","description":"INJECTION SINUS TRACT THERAPEUTIC SEPARATE PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J0697","description":"INJECTION STERILE CEFUROXIME SODIUM PER 750 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.189,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOMYCIN UP TO 1 G","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3000","description":"INJECTION STREPTOMYCIN UP TO 1 G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION STREPTOZOCIN 1 G","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J9320","description":"INJECTION STREPTOZOCIN 1 G","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.153,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.153,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21116","description":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21116","description":"INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.137,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.088,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.088,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3105","description":"INJECTION TERBUTALINE SULFATE UP TO 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.256,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERIPARATIDE 10 MCG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3110","description":"INJECTION TERIPARATIDE 10 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TERIPARATIDE 10 MCG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3110","description":"INJECTION TERIPARATIDE 10 MCG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J1670","description":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1670","description":"INJECTION TETANUS IMMUNE GLOB HUMAN TO 250 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.602,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THERAPEUTIC CARPAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20526","description":"INJECTION THERAPEUTIC CARPAL TUNNEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION THIAMINE HCL 100 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3411","description":"INJECTION THIAMINE HCL 100 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.991,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIROFIBAN HCI 0.25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3246","description":"INJECTION TIROFIBAN HCI 0.25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TIROFIBAN HCI 0.25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3246","description":"INJECTION TIROFIBAN HCI 0.25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3260","description":"INJECTION TOBRAMYCIN SULFATE UP TO 80 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOLAZOLINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J2670","description":"INJECTION TOLAZOLINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TOLAZOLINE HCL UP TO 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2670","description":"INJECTION TOLAZOLINE HCL UP TO 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.784,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.828,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.828,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.584,"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.584,"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.481,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.481,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.031,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.031,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.553,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.553,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3250","description":"INJECTION TRIMETHOBENZAMIDE HCL UP TO 200 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.942,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.318,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30200","description":"INJECTION TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION TURBINATE THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30200","description":"INJECTION TURBINATE THERAPEUTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1397.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1397.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1433.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1433.674,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1397.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1397.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1433.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1433.674,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.727,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.727,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.665,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.984,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION WRIST ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25246","description":"INJECTION WRIST ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION WRIST ARTHROGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25246","description":"INJECTION WRIST ARTHROGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.597,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZICONOTIDE 1 MICROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2278","description":"INJECTION ZICONOTIDE 1 MICROGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIDOVUDINE 10 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J3485","description":"INJECTION ZIDOVUDINE 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTION ZIDOVUDINE 10 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3485","description":"INJECTION ZIDOVUDINE 10 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36468","description":"INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64530","description":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64530","description":"INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62282","description":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62282","description":"INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62281","description":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62281","description":"INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62280","description":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62280","description":"INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37191","description":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1268.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37191","description":"INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1268.157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1268.157,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33207","description":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33207","description":"INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33206","description":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33206","description":"INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33208","description":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33208","description":"INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL and VENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33213","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33213","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33221","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33221","description":"INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PM PLS GEN W/EXIST SINGLE LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33212","description":"INS PM PLS GEN W/EXIST SINGLE LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS PM PLS GEN W/EXIST SINGLE LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33212","description":"INS PM PLS GEN W/EXIST SINGLE LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64590","description":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64590","description":"INS/RPLC PERPH SAC/GSTRC NPG/RCVR PCKT CRTJ and CONN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.08,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49442","description":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49442","description":"INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49441","description":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49441","description":"INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49440","description":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49440","description":"INSERT GASTROSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53855","description":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":700.7509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":700.7509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":807.8342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":807.8342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53855","description":"INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.9207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":700.7509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":700.7509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":807.8342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":807.8342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36557","description":"INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE  LT 5 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19340","description":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19340","description":"INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59200","description":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59200","description":"INSERTION CERVICAL DILATOR SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11981","description":"INSERTION DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11981","description":"INSERTION DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33203","description":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":568.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":568.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":624.2962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":624.2962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":672.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":672.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33203","description":"INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":568.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":568.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":624.2962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":624.2962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":672.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":672.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33202","description":"INSERTION EPICARDIAL ELECTRODE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION EPICARDIAL ELECTRODE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33202","description":"INSERTION EPICARDIAL ELECTRODE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93503","description":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93503","description":"INSERTION FLOW DIRECTED CATHETER FOR MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58346","description":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58346","description":"INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32550","description":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32550","description":"INSERTION INDWELLING TUNNELED PLEURAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":489.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":489.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33967","description":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33967","description":"INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58300","description":"INSERTION INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58300","description":"INSERTION INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30220","description":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30220","description":"INSERTION NASAL SEPTAL PROSTHESIS BUTTON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49425","description":"INSERTION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49425","description":"INSERTION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36568","description":"INSERTION PICC W/O IMG GDN  LT  5 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN  LT  5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36568","description":"INSERTION PICC W/O IMG GDN  LT  5 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36569","description":"INSERTION PICC W/O IMG GDN 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION PICC W/O IMG GDN 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36569","description":"INSERTION PICC W/O IMG GDN 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95830","description":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95830","description":"INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":681.3784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":771.0932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":889.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TANDEM CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53444","description":"INSERTION TANDEM CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TANDEM CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53444","description":"INSERTION TANDEM CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36835","description":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36835","description":"INSERTION THOMAS SHUNT SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11960","description":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":665.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11960","description":"INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":665.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.335,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4354","description":"INSERTION TRAY W/DRAIN BAG BUT WITHOUT CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4310","description":"INSERTION TRAY W/O DRAIN BAG and W/O CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.097,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49421","description":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49421","description":"INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49419","description":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49419","description":"INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57155","description":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57155","description":"INSERTION UTERINE TANDEM and /VAGINAL OVOIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL RADIATION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57156","description":"INSERTION VAGINAL RADIATION DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VAGINAL RADIATION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57156","description":"INSERTION VAGINAL RADIATION DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VASCULAR PEDICLE CARPAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25430","description":"INSERTION VASCULAR PEDICLE CARPAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION VASCULAR PEDICLE CARPAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25430","description":"INSERTION VASCULAR PEDICLE CARPAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20650","description":"INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64590","description":"INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33216","description":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33216","description":"INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33217","description":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33217","description":"INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36810","description":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36810","description":"INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36800","description":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36800","description":"INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36815","description":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36815","description":"INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36823","description":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":881.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36823","description":"INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":881.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33224","description":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33224","description":"INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33225","description":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33225","description":"INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33335","description":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33335","description":"INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33330","description":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":872.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33330","description":"INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":872.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33973","description":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33973","description":"INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36260","description":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36260","description":"INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33240","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33240","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33230","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33230","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33231","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33231","description":"INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53445","description":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53445","description":"INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33970","description":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33970","description":"INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49418","description":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49418","description":"INSJ INTRAPERITONEAL CATHETER W/IMG GUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":624.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":624.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57267","description":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57267","description":"INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54405","description":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54405","description":"INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11981","description":"INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-NDWELLG BLADDER CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51701","description":"INSJ NON-NDWELLG BLADDER CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-NDWELLG BLADDER CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51701","description":"INSJ NON-NDWELLG BLADDER CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36555","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE  LT  5 Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36556","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36556","description":"INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":372.5202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":372.5202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.9485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":405.9211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":405.9211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":436.7168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":436.7168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":436.7836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":436.7836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.6187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.6187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":471.7877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":471.7877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.8587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.8587,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":467.3788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":467.3788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":500.7797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":500.7797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":507.1259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":507.1259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":540.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":540.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":553.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":553.7535,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":564.9094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":564.9094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":588.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":588.8245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":609.9672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":609.9672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":664.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":664.8783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PIN-RETAINED PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42281","description":"INSJ PIN-RETAINED PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PIN-RETAINED PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42281","description":"INSJ PIN-RETAINED PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36571","description":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36571","description":"INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":913.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36570","description":"INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":913.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/CONT INFUSION SYS VENTR CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61215","description":"INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51703","description":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51703","description":"INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51702","description":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51702","description":"INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54660","description":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54660","description":"INSJ TESTICULAR PROSTH SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37182","description":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37182","description":"INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36565","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36565","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36566","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2587.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2587.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36566","description":"INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2587.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2587.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36561","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36561","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":775.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36560","description":"INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":775.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36563","description":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36563","description":"INSJ TUNNELED CTR VAD W/SUBQ PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36558","description":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36558","description":"INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33979","description":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1170.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33979","description":"INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1170.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33976","description":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":949.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33976","description":"INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":949.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":949.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33975","description":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33975","description":"INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19342","description":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19342","description":"INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61886","description":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61886","description":"INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2 OR GT  ELTRDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61885","description":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61885","description":"INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33249","description":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33249","description":"INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":562.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":562.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63685","description":"INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63685","description":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63685","description":"INSJ/RPLCMT SPINAL NPG/RCVR POCKET CRTJ and CONNJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33210","description":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33210","description":"INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33211","description":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33211","description":"INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4313","description":"INSRT TRAY W/O DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4314","description":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4314","description":"INSRTION TRAY W/DRN BAG W/CATH 2-WAY LATX W/COAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4316","description":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4316","description":"INSRTION TRAY W/DRN BAG W/CATH 3-WAY CONT IRRIG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.462,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.462,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4315","description":"INSRTION TRAY W/DRN BAG W/CATH2-WAY ALL SILCON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4311","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY LATEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4312","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4312","description":"INSRTION TRAY W/O DRN BAG W/CATH 2-WAY SILCON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32562","description":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32562","description":"INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50391","description":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50391","description":"INSTLJ THER AGENT RENAL PELVIS and /URETER VIA TUB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32561","description":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32561","description":"INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32560","description":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32560","description":"INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99177","description":"INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J1817","description":"INSULIN ADMINISTRATION THROUGH DME PER 50 UNITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86337","description":"INSULIN ANTIBODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86337","description":"INSULIN ANTIBODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80434","description":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80434","description":"INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80435","description":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80435","description":"INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80432","description":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80432","description":"INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.739,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48520","description":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48520","description":"INT ANAST PANCREATIC CYST GI TRACT DIRECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48540","description":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":819.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48540","description":"INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":819.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46946","description":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46946","description":"INT HRHC BY LIGATION 2 Plus  HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46945","description":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46945","description":"INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERDENTAL WIRING OTHER THAN FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21497","description":"INTERDENTAL WIRING OTHER THAN FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERDENTAL WIRING OTHER THAN FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21497","description":"INTERDENTAL WIRING OTHER THAN FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7020","description":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7020","description":"INTERFACE COUGH STIMULAT DEVC REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIGHT TIP W/WO COAT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4353","description":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4353","description":"INTERMIT URINARY CATHETER W/INSERTION SUPPLIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.25,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.25,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64727","description":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64727","description":"INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27290","description":"INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPELVIABDOMINAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27290","description":"INTERPELVIABDOMINAL AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.674,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90887","description":"INTERPJ/EXPLNAJ RSLTS PSYC/OTH XM and PX/DATA FAMILY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93290","description":"INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93288","description":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93288","description":"INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93291","description":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93291","description":"INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93289","description":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93289","description":"INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93292","description":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93292","description":"INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93295","description":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93295","description":"INTERROGATION EVAL REMOTE  LT 90 D 1/2/MLT LD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93750","description":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93750","description":"INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6350","description":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5285.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5285.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6350","description":"INTERSCAP THOR HUM SECT INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5285.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5285.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6360","description":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6360","description":"INTERSCAPULAR THOR PASSIVE REST CMPL PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6370","description":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2055.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6370","description":"INTERSCAPULAR THOR PASSIVE REST SHLDR CAP ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2055.713,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.713,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49411","description":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49411","description":"INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77778","description":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77778","description":"INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":613.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23900","description":"INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":887.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTERTHORACOSCAPULAR AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23900","description":"INTERTHORACOSCAPULAR AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":887.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL PLICATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44680","description":"INTESTINAL PLICATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINAL PLICATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44680","description":"INTESTINAL PLICATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINE IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78290","description":"INTESTINE IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTESTINE IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78290","description":"INTESTINE IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93610","description":"INTRA-ATRIAL PACING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93610","description":"INTRA-ATRIAL PACING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93602","description":"INTRA-ATRIAL RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-ATRIAL RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93602","description":"INTRA-ATRIAL RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VENTRIC and /ATRIAL MAPG TACHYCARD W/CATH MA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93609","description":"INTRA-VENTRIC and /ATRIAL MAPG TACHYCARD W/CATH MA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93609","description":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93609","description":"INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":286.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":286.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93662","description":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93662","description":"INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93613","description":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93613","description":"INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77763","description":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77763","description":"INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77762","description":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77762","description":"INTRACAVITARY RADIATION SOURCE APPLIC INTERMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77761","description":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77761","description":"INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61692","description":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2278.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2278.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61692","description":"INTRACRANIAL ARVEN MALFRMJ DURAL CMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2278.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2278.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61690","description":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1376.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61690","description":"INTRACRANIAL ARVEN MALFRMJ DURAL SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1376.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61686","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2800.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2800.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61686","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2800.523,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2800.523,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61684","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1784.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61684","description":"INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1784.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1784.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61682","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2579.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2579.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61682","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2579.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2579.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61680","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1422.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1422.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61680","description":"INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1422.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1422.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95024","description":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95024","description":"INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95027","description":"INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74360","description":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74360","description":"INTRALUMINAL DILATION STRICTURES and /OBSTRCJS RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.969,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93631","description":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93631","description":"INTRAOP EPICAR AND  ENDOCAR PACG AND  MAPG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77425","description":"INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77424","description":"INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38900","description":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38900","description":"INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE COLONIC LAVAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44701","description":"INTRAOPERATIVE COLONIC LAVAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE COLONIC LAVAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44701","description":"INTRAOPERATIVE COLONIC LAVAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77469","description":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":273.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":273.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":292.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":292.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77469","description":"INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":273.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":273.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":292.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":292.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41000","description":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41000","description":"INTRAORAL I and D TONGUE/FLOOR LINGUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41009","description":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41009","description":"INTRAORAL I and D TONGUE/FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41006","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41006","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL DP SPRMLHYD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41005","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41005","description":"INTRAORAL I and D TONGUE/FLOOR SUBLNGL SUPFC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":150.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":150.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41007","description":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41007","description":"INTRAORAL I and D TONGUE/FLOOR SUBMENTAL SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41008","description":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41008","description":"INTRAORAL I and D TONGUE/FLOOR SUBMNDBLR SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1305.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1305.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7300","description":"INTRAUTERINE COPPER CONTRACEPTIVE PARAGARD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1305.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENTRICULAR PACING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93612","description":"INTRAVENTRICULAR PACING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRAVENTRICULAR PACING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93612","description":"INTRAVENTRICULAR PACING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRINSIC FACTOR ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86340","description":"INTRINSIC FACTOR ANTIBODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRINSIC FACTOR ANTIBODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86340","description":"INTRINSIC FACTOR ANTIBODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57180","description":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57180","description":"INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36013","description":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36013","description":"INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36010","description":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36010","description":"INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74340","description":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74340","description":"INTRO LONG GI TUBE W/MULT FLUORO  and  IMAGES RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.428,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36160","description":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36160","description":"INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36100","description":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36100","description":"INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36140","description":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36140","description":"INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION CATHETER AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36200","description":"INTRODUCTION CATHETER AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION CATHETER AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36200","description":"INTRODUCTION CATHETER AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":370.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44500","description":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44500","description":"INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36000","description":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36000","description":"INTRODUCTION NEEDLE/INTRACATHETER VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6570","description":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5364.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5364.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6570","description":"INTRSCAP THOR MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5364.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5364.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44615","description":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44615","description":"INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31500","description":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31500","description":"INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.582,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9516","description":"IODINE I-123 SODIUM IODIDE DX PER 100 UCI TO 999","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9509","description":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9509","description":"IODINE I-123 SODIUM IODIDE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9532","description":"IODINE I-125 SERUM ALBUMIN DX PER 5 MICROCURIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-125 SODIUM IODIDE SOL TX PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9527","description":"IODINE I-125 SODIUM IODIDE SOL TX PER MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9554","description":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9554","description":"IODINE I-125 SODIUM IOTHALAMATE DX UP TO 10 UCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9508","description":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9508","description":"IODINE I-131 IOBENGUANE SULFATE DX PER 0.5 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9524","description":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9524","description":"IODINE I-131 IODINATD SERUM ALBUMIN DX PER 5 UCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9531","description":"IODINE I-131 SODIM IODIDE DX TO 100 MICROCURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9517","description":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9517","description":"IODINE I-131 SODIUM IODIDE CAPS THERAPEUTIC MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9528","description":"IODINE I-131 SODIUM IODIDE CAPSULES DX PER MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9529","description":"IODINE I-131 SODIUM IODIDE SOLIODINE I-131 SODIU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9530","description":"IODINE I-131 SODIUM IODIDE SOLUTION TX PER MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99255","description":"IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99253","description":"IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.92,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.175,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99252","description":"IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99175","description":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99175","description":"IPECAC/SIMILAR ADMN EMESIS and OBS STOMACH EMPTIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95028","description":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95028","description":"IQ TSTS ALLERGENIC XTRCS DLYD TYP RXN W/READING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95027","description":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95027","description":"IQ TSTS SEQL and INCRL W/ALLERGENIC XTRCS AIRBORNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRON BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83550","description":"IRON BINDING CAPACITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRON BINDING CAPACITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83550","description":"IRON BINDING CAPACITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRON STAIN PERIPHERAL BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85536","description":"IRON STAIN PERIPHERAL BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRON STAIN PERIPHERAL BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85536","description":"IRON STAIN PERIPHERAL BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4355","description":"IRRIG TUBING CONT BLADD IRRIG 3-WAY CATH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.505,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96523","description":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96523","description":"IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4437","description":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4437","description":"IRRIGATION SUPPLY SLEEVE DISPOSABLE PER MONTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4436","description":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4436","description":"IRRIGATION SUPPLY SLEEVE REUSABLE PER MONTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION SYRINGE BULB OR PISTON EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4322","description":"IRRIGATION SYRINGE BULB OR PISTON EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.281,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.281,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57150","description":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57150","description":"IRRIGATION VAGINA and /APPL MEDICAMENT TX DISEASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95875","description":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95875","description":"ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISLET CELL ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86341","description":"ISLET CELL ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISLET CELL ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86341","description":"ISLET CELL ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOCITRIC DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83570","description":"ISOCITRIC DEHYDROGENASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOCITRIC DEHYDROGENASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83570","description":"ISOCITRIC DEHYDROGENASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.788,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7658","description":"ISOPROTERENOL HCI INHAL NON-CP CONC FORM PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7659","description":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7659","description":"ISOPROTERENOL HCI INHAL NON-CP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1969.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS 1ST VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93571","description":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS 1ST VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93572","description":"IV DOP VEL and /OR PRESS C/FLO RSRV MEAS ADDL VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93571","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93571","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS 1ST VESSEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":246.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93572","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93572","description":"IV DOP VEL and /PRESS C/FLO RSRV MEAS EA ADDL VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV HANGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0105","description":"IV HANGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV HANGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0105","description":"IV HANGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96361","description":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96361","description":"IV INFUSION HYDRATION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96360","description":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96360","description":"IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96367","description":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96367","description":"IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96366","description":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96366","description":"IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96365","description":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96365","description":"IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15860","description":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15860","description":"IV INJECTION AGENT TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15860","description":"IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96368","description":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96368","description":"IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV POLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0776","description":"IV POLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"IV POLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0776","description":"IV POLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Immune complex assay","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86332","description":"Immune complex assay","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin antibodies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86337","description":"Insulin antibodies","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Intra-atrial pacing","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93610","description":"Intra-atrial pacing","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraventricular pacing","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93612","description":"Intraventricular pacing","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Islet cell antibody","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86341","description":"Islet cell antibody","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Iv pole","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0776","description":"Iv pole","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81270","description":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81270","description":"JAK2 GENE ANALYSIS P.VAL617PHE VARIANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81279","description":"JAK2 TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JAK2 TARGETED SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81279","description":"JAK2 TARGETED SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5331","description":"JOINT SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6215.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6215.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5331","description":"JOINT SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6215.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6215.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77077","description":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77077","description":"JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2020","description":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1479.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1479.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2020","description":"KAFO DBL UPRT SOLID STIRUP THI AND CALF CSTM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1479.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1479.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2134","description":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":960.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2134","description":"KAFO FEM FX CAST ORTHOS SEMI-RIGD PRFAB FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":960.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2136","description":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1123.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2136","description":"KAFO FEM FX CAST ORTHOSIS RIGD PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1123.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1123.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2132","description":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2132","description":"KAFO FEM FX CAST ORTHOSIS SFT PRFAB W/FIT  and  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2035","description":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2035","description":"KAFO FULL PLSTC STAT PED W/O FREE MOT ANK PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODIES SERUM QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82009","description":"KETONE BODIES SERUM QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODIES SERUM QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82010","description":"KETONE BODIES SERUM QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82009","description":"KETONE BODYS QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82009","description":"KETONE BODYS QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82010","description":"KETONE BODYS QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETONE BODYS QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82010","description":"KETONE BODYS QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETOSTEROIDS 17- FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83593","description":"KETOSTEROIDS 17- FRACTIONATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KETOSTEROIDS 17- FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83593","description":"KETOSTEROIDS 17- FRACTIONATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78725","description":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78725","description":"KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78700","description":"KIDNEY IMAGING MORPHOLOGY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOLOGY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78700","description":"KIDNEY IMAGING MORPHOLOGY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78701","description":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78701","description":"KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78707","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78707","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78708","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78708","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78709","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78709","description":"KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5312","description":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4451.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4451.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5312","description":"KNEE DISARTIC MOLD SOCKET 1 AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4451.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4451.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5160","description":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5034.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5034.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5160","description":"KNEE DISARTIC MOLD SOCKT BENT KNEE EXT KNEE JNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5034.821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5034.821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5150","description":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4126.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4126.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5150","description":"KNEE DISRTC MOLD SOCKT EXT KNEE JNT SHIN SACH FT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4126.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4126.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1831","description":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1831","description":"KNEE ORTHOS LOCK KNEE JNT PSTN ORTHOS PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1847","description":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1847","description":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1845","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":806.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1845","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":806.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.421,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1852","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1852","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.383,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.383,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1810","description":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1810","description":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1832","description":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1832","description":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.588,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.588,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1830","description":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1830","description":"KNEE ORTHOSIS IMMOBLIZER CANVAS LONGTUDNL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1836","description":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1836","description":"KNEE ORTHOSIS RIGID WITHOUT JOINT PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1843","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":889.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1843","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH  AND  CALF PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":889.79,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.79,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1851","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":620.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1851","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":620.961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":620.961,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1850","description":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1850","description":"KNEE ORTHOSIS SWEDISH TYPE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.36,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1820","description":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1820","description":"KO ELAST CONDYLR PADS and JNT PRFAB CM FIT SPEC PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KO ELAST W/CONDYLR PADS and JNT PRFAB INCL FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1820","description":"KO ELAST W/CONDYLR PADS and JNT PRFAB INCL FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.513,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81275","description":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81275","description":"KRAS GENE ANALYSIS VARIANTS IN EXON 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRUKENBERG PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25915","description":"KRUKENBERG PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KRUKENBERG PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25915","description":"KRUKENBERG PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY 3 OR MORE SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22819","description":"KYPHECTOMY 3 OR MORE SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1569.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1569.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY 3 OR MORE SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22819","description":"KYPHECTOMY 3 OR MORE SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1569.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1569.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY SINGLE OR TWO SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22818","description":"KYPHECTOMY SINGLE OR TWO SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1363.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1363.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"KYPHECTOMY SINGLE OR TWO SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22818","description":"KYPHECTOMY SINGLE OR TWO SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1363.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1363.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93452","description":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93452","description":"L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":563.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78140","description":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78140","description":"LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69905","description":"LABYRINTHECTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69905","description":"LABYRINTHECTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69910","description":"LABYRINTHECTOMY W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHECTOMY W/MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69910","description":"LABYRINTHECTOMY W/MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69801","description":"LABYRINTHOTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LABYRINTHOTOMY TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69801","description":"LABYRINTHOTOMY TRANSCANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83625","description":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83625","description":"LACTATE DEHYDROGENASE ISOENZYMES SEP AND QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE LDH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83615","description":"LACTATE DEHYDROGENASE LDH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTATE DEHYDROGENASE LDH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83615","description":"LACTATE DEHYDROGENASE LDH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83630","description":"LACTOFERRIN FECAL QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83630","description":"LACTOFERRIN FECAL QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOFERRIN FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83631","description":"LACTOFERRIN FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"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":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":"LACTOFERRIN FECAL QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83631","description":"LACTOFERRIN FECAL QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"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":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":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83632","description":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83632","description":"LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.798,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOSE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83633","description":"LACTOSE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LACTOSE URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83633","description":"LACTOSE URINE QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.9,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63285","description":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1645.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1645.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63285","description":"LAM BX/EXC ISPI NEO IDRL IMED CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1645.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1645.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63286","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1626.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1626.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63286","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1626.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1626.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63287","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1723.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63287","description":"LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1723.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1723.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63283","description":"LAM BX/EXC ISPI NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1206.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63283","description":"LAM BX/EXC ISPI NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1206.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1206.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63280","description":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1336.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63280","description":"LAM BX/EXC ISPI NEO IDRL XMED CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1336.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1336.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63282","description":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1255.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63282","description":"LAM BX/EXC ISPI NEO IDRL XMED LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1255.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1255.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63281","description":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1325.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63281","description":"LAM BX/EXC ISPI NEO IDRL XMED THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1325.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1325.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63290","description":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1752.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1752.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63290","description":"LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1752.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1752.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63197","description":"LAM CORDOTOMY SCTJ BOTH SPINOTHALMIC TRACT THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1085.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1085.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63270","description":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1311.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1311.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63270","description":"LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1311.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1311.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63272","description":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1194.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1194.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63272","description":"LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1194.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1194.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63273","description":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63273","description":"LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1182.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63271","description":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1310.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63271","description":"LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1310.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1310.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63265","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1055.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63265","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1055.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63268","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":931.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63268","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":931.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":931.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63266","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1087.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63266","description":"LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1087.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1087.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63267","description":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63267","description":"LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63252","description":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1900.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63252","description":"LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1900.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63250","description":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1857.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1857.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63250","description":"LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1857.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1857.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63251","description":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1900.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63251","description":"LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1900.393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1900.393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63045","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63047","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63046","description":"LAM FACETECTOMY  AND  FORAMOTOMY 1 SEGMENT THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":785.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63045","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63045","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63047","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63047","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63046","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":785.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63046","description":"LAM FACETECTOMY  and  FORAMOTOMY 1 VRT SGM THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":785.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":785.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63048","description":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63048","description":"LAM FACETECTOMY and FORAMOT 1 VRT SGM EA ADDL SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM FACETECTOMY and FORAMTOMY 1 SGM EA CRV THRC/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63048","description":"LAM FACETECTOMY and FORAMTOMY 1 SGM EA CRV THRC/LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63655","description":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63655","description":"LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63197","description":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1085.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1085.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63197","description":"LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1085.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1085.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63172","description":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63172","description":"LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63173","description":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1094.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63173","description":"LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1094.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63170","description":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1012.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63170","description":"LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1012.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":783.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":783.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63001","description":"LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":783.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63275","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63275","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.248,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63277","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63277","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63278","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63278","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63276","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1132.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63276","description":"LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1132.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63200","description":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":983.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63200","description":"LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":983.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":983.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63015","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":943.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63015","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":943.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63017","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":808.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63017","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":808.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":808.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63016","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":967.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63016","description":"LAMINECTOMY W/O FFD  GT  2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":967.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63005","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":769.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63005","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":769.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":769.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63011","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":697.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63011","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":697.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":697.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63003","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63003","description":"LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63190","description":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63190","description":"LAMINECTOMY W/RHIZOTOMY  GT  2 SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63185","description":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63185","description":"LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63012","description":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":761.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63012","description":"LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":761.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63191","description":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":880.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63191","description":"LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":880.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63020","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63020","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63030","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63030","description":"LAMINOTOMY DCMPRN NRV ROOT 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63020","description":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63030","description":"LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63035","description":"LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63050","description":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63050","description":"LAMOP CERVICAL W/DCMPRN SPI CORD 2 OR GT  VERT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63051","description":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1072.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63051","description":"LAMOPLASTY CERVICAL DCMPRN CORD 2 OR GT  SEG RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1072.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63040","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":876.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63040","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":876.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":876.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63043","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63043","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63042","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":825.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63042","description":"LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":825.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":825.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63035","description":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63035","description":"LAMOT W/DCMPRN NRV RT EA ADDL NTRSPC CRV/LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63044","description":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63044","description":"LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.852,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LANCETS PER BOX OF 100","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4259","description":"LANCETS PER BOX OF 100","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44970","description":"LAPAROSCOPIC APPENDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC APPENDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44970","description":"LAPAROSCOPIC APPENDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC SURGICAL SPLENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38120","description":"LAPAROSCOPIC SURGICAL SPLENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPIC SURGICAL SPLENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38120","description":"LAPAROSCOPIC SURGICAL SPLENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60650","description":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":749.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60650","description":"LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":749.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44204","description":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":959.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44204","description":"LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":959.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":959.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57425","description":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57425","description":"LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50547","description":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1029.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50547","description":"LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1029.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44180","description":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44180","description":"LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":579.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":579.392,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":488.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":488.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":521.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":521.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":529.8719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":529.8719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":563.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":563.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":569.2181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":569.2181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":604.2891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":604.2891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FULGURATION OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58670","description":"LAPAROSCOPY FULGURATION OVIDUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY FULGURATION OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58670","description":"LAPAROSCOPY FULGURATION OVIDUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50546","description":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50546","description":"LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50548","description":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50548","description":"LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":841.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":841.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45400","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":712.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45400","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":712.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45402","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":948.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45402","description":"LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":948.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY RADICAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50545","description":"LAPAROSCOPY RADICAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY RADICAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50545","description":"LAPAROSCOPY RADICAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58673","description":"LAPAROSCOPY SALPINGOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58673","description":"LAPAROSCOPY SALPINGOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SLING OPERATION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51992","description":"LAPAROSCOPY SLING OPERATION STRESS INCONT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SLING OPERATION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51992","description":"LAPAROSCOPY SLING OPERATION STRESS INCONT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44203","description":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44203","description":"LAPAROSCOPY SMALL INTESTINE RESCJ  AND  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58541","description":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58541","description":"LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50541","description":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50541","description":"LAPAROSCOPY SURG ABLATION RENAL CYSTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47562","description":"LAPAROSCOPY SURG CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47562","description":"LAPAROSCOPY SURG CHOLECYSTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47570","description":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47570","description":"LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44188","description":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44188","description":"LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44187","description":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":687.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44187","description":"LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":687.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50543","description":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50543","description":"LAPAROSCOPY SURG PARTIAL NEPHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PYELOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50544","description":"LAPAROSCOPY SURG PYELOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":779.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG PYELOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50544","description":"LAPAROSCOPY SURG PYELOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":779.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49650","description":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49650","description":"LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49321","description":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49321","description":"LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":219.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":219.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44186","description":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44186","description":"LAPAROSCOPY SURGICAL JEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58573","description":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58573","description":"LAPAROSCOPY TOT HYSTERECTOMY  GT 250 G W/TUBE/OVAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58572","description":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58572","description":"LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS  GT 250 GM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51990","description":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51990","description":"LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URTROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50945","description":"LAPAROSCOPY URTROLITHOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY URTROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50945","description":"LAPAROSCOPY URTROLITHOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":611.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58570","description":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58570","description":"LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58660","description":"LAPAROSCOPY W/LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/LYSIS OF ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58660","description":"LAPAROSCOPY W/LYSIS OF ADHESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/OMENTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49326","description":"LAPAROSCOPY W/OMENTOPEXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/OMENTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49326","description":"LAPAROSCOPY W/OMENTOPEXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58671","description":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58671","description":"LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58661","description":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58661","description":"LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49320","description":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49320","description":"LAPS ABD PRTM and OMENTUM DX W/WO SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50542","description":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50542","description":"LAPS ABLTJ RENAL MASS LESION W/INTRAOP US","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38572","description":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38572","description":"LAPS BI TOT PEL LMPHADEC  AND  PRI-AORTIC LYMPH BX 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44227","description":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1033.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44227","description":"LAPS CLSR NTRSTM LG/SM INT W/RESCJ  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1033.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1033.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44211","description":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1326.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44211","description":"LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1326.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44208","description":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1228.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44208","description":"LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1228.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1228.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44212","description":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1271.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1271.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44212","description":"LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1271.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1271.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44207","description":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1128.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44207","description":"LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1128.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1128.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44206","description":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1084.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44206","description":"LAPS COLECTOMY PRTL W/END CLST  and  CLSR DSTL SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1084.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44205","description":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44205","description":"LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":834.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":834.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44210","description":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1107.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44210","description":"LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1107.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44202","description":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":869.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44202","description":"LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ  AND  ANA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":869.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGEAL LENGTHENING ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43283","description":"LAPS ESOPHAGEAL LENGTHENING ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGEAL LENGTHENING ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43283","description":"LAPS ESOPHAGEAL LENGTHENING ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43279","description":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1106.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1106.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1213.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1213.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1304.1381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1304.1381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":861.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":861.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":948.4854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":948.4854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43279","description":"LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.5291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1106.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1106.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1213.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1213.4213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1304.1381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1304.1381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":861.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":861.9102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":948.4854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":948.4854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58662","description":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58662","description":"LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43770","description":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1305.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43770","description":"LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1305.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1305.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43773","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43773","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE AND RPLCMT DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43772","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43772","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43774","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":606.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43774","description":"LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE  AND  PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":606.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43771","description":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43771","description":"LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43644","description":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1990.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1990.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43644","description":"LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB  LT 150 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1990.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1990.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43645","description":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2119.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2119.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43645","description":"LAPS GSTR RSTCV PX W/BYP and SM INT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2119.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2119.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43647","description":"LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49324","description":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49324","description":"LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44213","description":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44213","description":"LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58545","description":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58545","description":"LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58546","description":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58546","description":"LAPS MYOMECTOMY EXC 5 OR GT  MYOMAS  GT 250 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45395","description":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1224.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45395","description":"LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1224.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1224.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45397","description":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1327.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1327.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45397","description":"LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1327.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1327.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43282","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1077.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43282","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1077.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43281","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":956.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43281","description":"LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":956.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58543","description":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58543","description":"LAPS SUPRACERVICAL HYSTERECTOMY  GT 250","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58542","description":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58542","description":"LAPS SUPRACRV HYSTERECT 250 GM OR LT  RMVL TUBE/OVAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47371","description":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47371","description":"LAPS SURG ABLTJ 1  GT  LVR TUM CRYOSURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47370","description":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":789.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47370","description":"LAPS SURG ABLTJ 1 OR GT  LVR TUM RF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":789.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":789.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38571","description":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38571","description":"LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47564","description":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47564","description":"LAPS SURG CHOLECSTC W/EXPL COMMON DUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47563","description":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47563","description":"LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43280","description":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":675.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43280","description":"LAPS SURG ESOPG/GSTR FUNDOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":675.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43653","description":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43653","description":"LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38570","description":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38570","description":"LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49651","description":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49651","description":"LAPS SURG RPR RECURRENT INGUINAL HERNIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43652","description":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43652","description":"LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43651","description":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43651","description":"LAPS SURG TRNSXJ VAGUS NRV TRUNCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":418.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":418.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49322","description":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49322","description":"LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49323","description":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49323","description":"LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58571","description":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58571","description":"LAPS TOTAL HYSTERECT 250 GM OR LT  W/RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59150","description":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":867.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59150","description":"LAPS TX ECTOPIC PREG W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":867.218,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.218,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59151","description":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":848.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59151","description":"LAPS TX ECTOPIC PREG W/SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":848.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":848.078,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50947","description":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":869.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50947","description":"LAPS URTRONEOCSTOST W/CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":869.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50948","description":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":802.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50948","description":"LAPS URTRONEOCSTOST W/O CSTSC and URTRL STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":802.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":802.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58554","description":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":822.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58554","description":"LAPS VAGINAL HYSTERECT  GT  250 GM RMVL TUBE and /OVAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":822.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":822.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58550","description":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58550","description":"LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49327","description":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49327","description":"LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58548","description":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1185.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1185.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1292.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1292.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1365.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1365.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1393.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1393.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1488.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1488.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1576.2219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1576.2219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1602.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1602.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1719.2111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1719.2111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1851.9797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1851.9797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58548","description":"LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1185.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1185.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1292.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1292.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1365.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1365.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1393.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1393.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1488.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1488.1103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1576.2219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1576.2219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1602.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1602.4416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1719.2111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1719.2111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1851.9797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1851.9797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/REVISION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49325","description":"LAPS W/REVISION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/REVISION INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49325","description":"LAPS W/REVISION INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58552","description":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58552","description":"LAPS W/VAG HYSTERECT 250 GM/ and RMVL TUBE and /OVARIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58553","description":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":705.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58553","description":"LAPS W/VAGINAL HYSTERECTOMY  GT  250 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":705.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43333","description":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43333","description":"LAPT RPR PARAESOPH HIATAL HERNIA W/MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58960","description":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58960","description":"LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47015","description":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":734.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47015","description":"LAPT W/ASPIR  and /NJX HEPATC PARASITIC CYST/ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":734.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGE SIZE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0041","description":"LARGE SIZE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGE SIZE FOOTPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0041","description":"LARGE SIZE FOOTPLATE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31561","description":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31561","description":"LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31541","description":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31541","description":"LARGSC EXC TUM and /STRPG CORDS/EPIGL MCRSCP/TLSCP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31545","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31545","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31546","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31546","description":"LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31571","description":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31571","description":"LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92520","description":"LARYNGEAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL FUNCTION STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92520","description":"LARYNGEAL FUNCTION STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31590","description":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31590","description":"LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31367","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1390.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1390.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31367","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1390.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1390.906,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31368","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1535.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31368","description":"LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1535.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31360","description":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1312.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1312.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31360","description":"LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1312.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1312.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31365","description":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1616.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1616.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31365","description":"LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1616.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1616.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31587","description":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":782.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31587","description":"LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":782.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31580","description":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":830.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31580","description":"LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":830.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31584","description":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":908.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31584","description":"LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":908.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31570","description":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31570","description":"LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31560","description":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31560","description":"LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31535","description":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31535","description":"LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31540","description":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31540","description":"LARYNGOSCOPY EXC TUM and /STRIPPING CORDS/EPIGLOTT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31575","description":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31575","description":"LARYNGOSCOPY FLEXIBLE DIAGNOSTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31578","description":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31578","description":"LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31576","description":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31576","description":"LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31577","description":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31577","description":"LARYNGOSCOPY FLX RMVL FOREIGN BODY(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31579","description":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31579","description":"LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31531","description":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31531","description":"LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31505","description":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31505","description":"LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31510","description":"LARYNGOSCOPY INDIRECT W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31510","description":"LARYNGOSCOPY INDIRECT W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31511","description":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31511","description":"LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31512","description":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31512","description":"LARYNGOSCOPY INDIRECT W/REMOVAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31513","description":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31513","description":"LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31536","description":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31536","description":"LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31530","description":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31530","description":"LARYNGOSCOPY W/FOREIGN BODY REMOVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31515","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31515","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31529","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31529","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31525","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31525","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31520","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31527","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31527","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31528","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31528","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31526","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31526","description":"LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31300","description":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31300","description":"LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER ENUCLEATION PROSTATE W/MORCELLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52649","description":"LASER ENUCLEATION PROSTATE W/MORCELLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":538.2889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":538.2889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":570.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":570.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":577.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":577.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":607.2952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":607.2952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":653.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":653.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER ENUCLEATION PROSTATE W/MORCELLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52649","description":"LASER ENUCLEATION PROSTATE W/MORCELLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.1238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":538.2889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":538.2889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":570.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":570.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":577.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":577.0005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":607.2952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":607.2952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":653.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":653.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS  GT 500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96922","description":"LASER SKIN DISEASE PSORIASIS  GT 500 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":156.3162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":174.5197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":199.0026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS 250-500 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96921","description":"LASER SKIN DISEASE PSORIASIS 250-500 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER SKIN DISEASE PSORIASIS TOT AREA  LT 250 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96920","description":"LASER SKIN DISEASE PSORIASIS TOT AREA  LT 250 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52648","description":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1021.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52648","description":"LASER VAPORIZATION OF PROSTATE FOR URINE FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1021.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.02,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.141,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL RETINACULAR RELEASE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27425","description":"LATERAL RETINACULAR RELEASE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LATERAL RETINACULAR RELEASE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27425","description":"LATERAL RETINACULAR RELEASE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31000","description":"LAVAGE CANNULATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31000","description":"LAVAGE CANNULATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31002","description":"LAVAGE CANNULATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LAVAGE CANNULATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31002","description":"LAVAGE CANNULATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEAD WIRES PER PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4557","description":"LEAD WIRES PER PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93462","description":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93462","description":"LEFT HEART CATH BY TRANSEPTAL PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0158","description":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0158","description":"LEG EXTENSIONS FOR WALKER PER SET OF FOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0038","description":"LEG STRAP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0038","description":"LEG STRAP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP H STYLE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0039","description":"LEG STRAP H STYLE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP H STYLE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0039","description":"LEG STRAP H STYLE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5114","description":"LEG STRAP; FOAM/FABRIC REPLACEMENT ONLY PER SET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27394","description":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27394","description":"LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27395","description":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27395","description":"LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27393","description":"LENGTHENING HAMSTRING TENDON SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING HAMSTRING TENDON SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27393","description":"LENGTHENING HAMSTRING TENDON SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42226","description":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42226","description":"LENGTHENING PALATE  AND  PHARYNGEAL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE W/ISLAND FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42227","description":"LENGTHENING PALATE W/ISLAND FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING PALATE W/ISLAND FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42227","description":"LENGTHENING PALATE W/ISLAND FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26476","description":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26476","description":"LENGTHENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26478","description":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26478","description":"LENGTHENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUCINE AMINOPEPTIDASE LAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83670","description":"LEUCINE AMINOPEPTIDASE LAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUCINE AMINOPEPTIDASE LAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83670","description":"LEUCINE AMINOPEPTIDASE LAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89055","description":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89055","description":"LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86343","description":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86343","description":"LEUKOCYTE HISTAMINE RELEASE TEST LHR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE PHAGOCYTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86344","description":"LEUKOCYTE PHAGOCYTOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE PHAGOCYTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86344","description":"LEUKOCYTE PHAGOCYTOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE TRANSFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86950","description":"LEUKOCYTE TRANSFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEUKOCYTE TRANSFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86950","description":"LEUKOCYTE TRANSFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.82,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.858,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.82,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5252.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5252.016,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5252.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5252.016,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88300","description":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88300","description":"LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88302","description":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88302","description":"LEVEL II SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88304","description":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88304","description":"LEVEL III SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88305","description":"LEVEL IV SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88307","description":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88307","description":"LEVEL V SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":138.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":138.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":190.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88309","description":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88309","description":"LEVEL VI SURG PATHOLOGY GROSS AND MICROSCOPIC EXAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7296","description":"LEVONORGESTREL-RELEASING IU COC SYS 19.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7301","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1165.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7301","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 13.5 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1165.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7298","description":"LEVONORGESTREL-RLS INTRAUTERINE COC SYS 52 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7298","description":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7298","description":"LEVONORGESTREL-RLS IU COC SYS MIRENA 52 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1399.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7008","description":"LG VOL NEBULIZR DISPBL PREFIL W/AROSL COMPRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3310","description":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3310","description":"LIFT ELEVATION HEEL AND SOLE NEOPRENE PER INCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.607,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL PER INCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3334","description":"LIFT ELEVATION HEEL PER INCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIFT ELEVATION HEEL PER INCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3334","description":"LIFT ELEVATION HEEL PER INCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37718","description":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":277.6617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":277.6617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.4603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.4603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":298.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":298.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":319.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":319.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37718","description":"LIG DIV  and  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":277.6617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":277.6617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.4603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.4603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":298.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":298.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":319.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":319.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37722","description":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37722","description":"LIG DIV and STRPG LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37606","description":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37606","description":"LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37761","description":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":460.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":460.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":493.1643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":493.1643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37761","description":"LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":424.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":424.3918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":460.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":460.8656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":493.1643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":493.1643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37760","description":"LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37760","description":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37760","description":"LIG PRFRATR VEINS SUBF RAD W/SKN GRAFT OPN 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37700","description":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37700","description":"LIG and DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37735","description":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37735","description":"LIG and DIV and COMPL STRPG LONG/SHRT SAPHENOUS VN W/EXC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33924","description":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33924","description":"LIG and TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37607","description":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37607","description":"LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43405","description":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43405","description":"LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58611","description":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58611","description":"LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58600","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58600","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":236.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":236.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58605","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58605","description":"LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27427","description":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27427","description":"LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27428","description":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27428","description":"LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES ETHMOIDAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30915","description":"LIGATION ARTERIES ETHMOIDAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES ETHMOIDAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30915","description":"LIGATION ARTERIES ETHMOIDAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30920","description":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30920","description":"LIGATION ARTERIES INT MAXILLARY TRANSANTRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION DIRECT ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43400","description":"LIGATION DIRECT ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":953.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION DIRECT ESOPHAGEAL VARICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43400","description":"LIGATION DIRECT ESOPHAGEAL VARICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":953.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION EXTERNAL CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37600","description":"LIGATION EXTERNAL CAROTID ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION EXTERNAL CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37600","description":"LIGATION EXTERNAL CAROTID ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL JUGULAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37565","description":"LIGATION INTERNAL JUGULAR VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL JUGULAR VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37565","description":"LIGATION INTERNAL JUGULAR VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL/COMMON CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37605","description":"LIGATION INTERNAL/COMMON CAROTID ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION INTERNAL/COMMON CAROTID ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37605","description":"LIGATION INTERNAL/COMMON CAROTID ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37617","description":"LIGATION MAJOR ARTERY ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37617","description":"LIGATION MAJOR ARTERY ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY CHEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37616","description":"LIGATION MAJOR ARTERY CHEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY CHEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37616","description":"LIGATION MAJOR ARTERY CHEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37618","description":"LIGATION MAJOR ARTERY EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37618","description":"LIGATION MAJOR ARTERY EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37615","description":"LIGATION MAJOR ARTERY NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION MAJOR ARTERY NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37615","description":"LIGATION MAJOR ARTERY NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":328.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":328.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF COMMON ILIAC VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37660","description":"LIGATION OF COMMON ILIAC VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF COMMON ILIAC VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37660","description":"LIGATION OF COMMON ILIAC VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":820.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":820.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37650","description":"LIGATION OF FEMORAL VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37650","description":"LIGATION OF FEMORAL VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37619","description":"LIGATION OF INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1222.1723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1222.1723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1319.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1319.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1340.3447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1340.3447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1402.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1402.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1436.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1436.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1443.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1443.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1536.2744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1536.2744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1547.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1547.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1645.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1645.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION OF INFERIOR VENA CAVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37619","description":"LIGATION OF INFERIOR VENA CAVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1222.1723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1222.1723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1319.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1319.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1340.3447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1340.3447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1402.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1402.3034,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1436.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1436.6395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1443.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1443.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1536.2744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1536.2744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1547.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1547.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1645.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1645.1947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49428","description":"LIGATION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49428","description":"LIGATION PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION SALIVARY DUCT INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42665","description":"LIGATION SALIVARY DUCT INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION SALIVARY DUCT INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42665","description":"LIGATION SALIVARY DUCT INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION/BIOPSY TEMPORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37609","description":"LIGATION/BIOPSY TEMPORAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGATION/BIOPSY TEMPORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37609","description":"LIGATION/BIOPSY TEMPORAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37780","description":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37780","description":"LIGJ  AND  DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ  and  DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37735","description":"LIGJ  and  DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  AND  STRIPPING SHORT SAPHENOUS VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37718","description":"LIGJ DIVJ  AND  STRIPPING SHORT SAPHENOUS VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":277.6617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":277.6617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":293.4603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":293.4603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":298.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":298.7711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":319.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":319.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":324.1891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.9685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37785","description":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37785","description":"LIGJ DIVJ  and /EXCJ VARICOSE VEIN CLUSTER 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGJ DIVJ and STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37722","description":"LIGJ DIVJ and STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":357.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.9909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":393.1954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":423.0224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":427.0305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":458.0933,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27429","description":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27429","description":"LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED PHARYNGECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42890","description":"LIMITED PHARYNGECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":906.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIMITED PHARYNGECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42890","description":"LIMITED PHARYNGECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":906.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.301,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80061","description":"LIPID PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPID PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80061","description":"LIPID PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN (A)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83695","description":"LIPOPROTEIN (A)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN (A)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83695","description":"LIPOPROTEIN (A)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83700","description":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83700","description":"LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP AND QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83701","description":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83701","description":"LIPOPROTEIN BLOOD HIGH RESOLTJ AND QUANTJ SUBCLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD QUAN NUMBERS  AND  SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83704","description":"LIPOPROTEIN BLOOD QUAN NUMBERS  AND  SUBCLASSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN BLOOD QUAN NUMBERS  AND  SUBCLASSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83704","description":"LIPOPROTEIN BLOOD QUAN NUMBERS  AND  SUBCLASSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83718","description":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83718","description":"LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.205,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.205,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83721","description":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83721","description":"LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83719","description":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83719","description":"LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.22,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83698","description":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83698","description":"LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7368","description":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7368","description":"LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7367","description":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7367","description":"LITHIUM ION BATTERY RECHARGEABLE REPLACEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY COMP/LG  GT  2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52318","description":"LITHOLAPAXY COMP/LG  GT  2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY COMP/LG  GT  2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52318","description":"LITHOLAPAXY COMP/LG  GT  2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52317","description":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52317","description":"LITHOLAPAXY SMPL/SM  LT 2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOTRIPSY XTRCORP SHOCK WAVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50590","description":"LITHOTRIPSY XTRCORP SHOCK WAVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LITHOTRIPSY XTRCORP SHOCK WAVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50590","description":"LITHOTRIPSY XTRCORP SHOCK WAVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78215","description":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78215","description":"LIVER  AND  SPLEEN IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78216","description":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78216","description":"LIVER  and  SPLEEN IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78201","description":"LIVER IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING STATIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78201","description":"LIVER IMAGING STATIC ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78202","description":"LIVER IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LIVER IMAGING W/VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78202","description":"LIVER IMAGING W/VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86806","description":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86806","description":"LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38562","description":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38562","description":"LMTD LMPHADEC STAGING SPX PEL AND PARA-AORTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38564","description":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38564","description":"LMTD LMPHADEC STAGING SPX RPR AORTIC and /SPLENIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92019","description":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92019","description":"LMTD OPH XM and EVAL GENERAL ANES W/WO MNPJ GLOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25280","description":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25280","description":"LNGTH/SHRT FLXR/XTNSR TDN F/ARM and /WRIST 1 EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27686","description":"LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27685","description":"LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.856,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.276,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20979","description":"LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LOWER EXTREMITY ORTHOSES NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2999","description":"LOWER EXTREMITY ORTHOSES NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"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":"LOWER EXTREMITY PROSTHESIS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5999","description":"LOWER EXTREMITY PROSTHESIS NOS","negotiated_rates":[{"provider_references":[210414],"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":"LSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0972","description":"LSO CORSET FRONT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0972","description":"LSO CORSET FRONT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0976","description":"LSO FULL CORSET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0976","description":"LSO FULL CORSET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0640","description":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0640","description":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1037.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1037.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0636","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1366.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0636","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1366.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.288,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0635","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1047.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.893,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0635","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1047.893,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1047.893,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4402","description":"LUBRICANT PER OUNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUBRICANT PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4402","description":"LUBRICANT PER OUNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0627","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0627","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID A AND P PANEL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.638,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.638,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0626","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0626","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0639","description":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0639","description":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0633","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0633","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0638","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1307.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0638","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1307.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0637","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0637","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A AND P PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1114.608,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0631","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1018.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0631","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A AND P PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1018.017,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.017,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0630","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0630","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.611,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0625","description":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0625","description":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0628","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0628","description":"LUMBAR-SACRAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.204,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32852","description":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2153.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2153.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32852","description":"LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2153.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2153.283,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32851","description":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1998.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32851","description":"LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1998.876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1998.876,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32854","description":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2950.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2950.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32854","description":"LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2950.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2950.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32853","description":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2793.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2793.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32853","description":"LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2793.527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2793.527,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTEINIZING RELEASING FACTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83727","description":"LUTEINIZING RELEASING FACTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LUTEINIZING RELEASING FACTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83727","description":"LUTEINIZING RELEASING FACTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.125,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47135","description":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3382.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3382.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47135","description":"LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3382.995,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3382.995,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75803","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75803","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.079,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75801","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75801","description":"LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75807","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75807","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75805","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75805","description":"LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38308","description":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38308","description":"LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHATICS  AND  LYMPH NODES IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78195","description":"LYMPHATICS  AND  LYMPH NODES IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHATICS  AND  LYMPH NODES IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78195","description":"LYMPHATICS  AND  LYMPH NODES IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5821.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5821.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5838.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5838.723,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5821.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5821.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5838.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5838.723,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1110.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1125.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7511","description":"LYMPHCYT IMMUN GLOB RABBIT PARENTERAL 25 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1110.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1125.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1125.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86353","description":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86353","description":"LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86805","description":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86805","description":"LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.771,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.771,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS INTRANASAL SYNECHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30560","description":"LYSIS INTRANASAL SYNECHIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS INTRANASAL SYNECHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30560","description":"LYSIS INTRANASAL SYNECHIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS LABIAL ADHESIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56441","description":"LYSIS LABIAL ADHESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS LABIAL ADHESIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56441","description":"LYSIS LABIAL ADHESIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS OF ADHESIONS SALPINX/OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58740","description":"LYSIS OF ADHESIONS SALPINX/OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"LYSIS OF ADHESIONS SALPINX/OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58740","description":"LYSIS OF ADHESIONS SALPINX/OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Large size footplate each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0041","description":"Large size footplate each","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngeal function studies","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92520","description":"Laryngeal function studies","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Leg strap each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0038","description":"Leg strap each","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Leg strap h style each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0039","description":"Leg strap h style each","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Leukocyte phagocytosis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86344","description":"Leukocyte phagocytosis","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80061","description":"Lipid panel","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lso corset front","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0972","description":"Lso corset front","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Lso full corset","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0976","description":"Lso full corset","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.977,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88368","description":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88368","description":"M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88367","description":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88367","description":"M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88374","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88374","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88377","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88377","description":"M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88361","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88361","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88360","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88360","description":"M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACRO EXAM DISSECT AND PREP TISS NONMICRO STD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88387","description":"MACRO EXAM DISSECT AND PREP TISS NONMICRO STD EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION ARTHROPOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87168","description":"MACROSCOPIC EXAMINATION ARTHROPOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION ARTHROPOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87168","description":"MACROSCOPIC EXAMINATION ARTHROPOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION PARASITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87169","description":"MACROSCOPIC EXAMINATION PARASITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC EXAMINATION PARASITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87169","description":"MACROSCOPIC EXAMINATION PARASITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88387","description":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88387","description":"MACROSCOPIC XM DSJ and PREPJ TISS NONMCRSCP STD EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":869.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32820","description":"MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":869.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AUGMENTATION PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21270","description":"MALAR AUGMENTATION PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":665.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALAR AUGMENTATION PROSTHETIC MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21270","description":"MALAR AUGMENTATION PROSTHETIC MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":665.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":665.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4326","description":"MALE EXT CATH W/INTEGRAL CLCT CHAMB ANY TYPE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4349","description":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4349","description":"MALE EXTERNAL CATHETER W/WO ADHES DISPOSABLE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MALE VACUUM ERECTION SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7900","description":"MALE VACUUM ERECTION SYSTEM","negotiated_rates":[{"provider_references":[210414],"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":"MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19325","description":"MAMMAPLASTY AUGMENTATION W/PROSTHETIC IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77054","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77054","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77053","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77053","description":"MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26341","description":"MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27860","description":"MANIPULATION ANKLE UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94667","description":"MANIPULATION CHEST WALL 1ST DEMONSTRATION and /EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION CHEST WALL SUBSEQUENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94668","description":"MANIPULATION CHEST WALL SUBSEQUENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ELBOW UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24300","description":"MANIPULATION ELBOW UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION ELBOW UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24300","description":"MANIPULATION ELBOW UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26340","description":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26340","description":"MANIPULATION FINGER JOINT UNDER ANES EACH JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27275","description":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27275","description":"MANIPULATION HIP JOINT GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27570","description":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27570","description":"MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION SPINE REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22505","description":"MANIPULATION SPINE REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION SPINE REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22505","description":"MANIPULATION SPINE REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21073","description":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21073","description":"MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION WRIST UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25259","description":"MANIPULATION WRIST UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANIPULATION WRIST UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25259","description":"MANIPULATION WRIST UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94667","description":"MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO and /EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94668","description":"MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23700","description":"MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50396","description":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50396","description":"MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50686","description":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50686","description":"MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3551.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3551.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1161","description":"MANUAL ADULT SIZE WHEELCHAIR INCLUDES TILT SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.113,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3551.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3551.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77071","description":"MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77071","description":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77071","description":"MANUAL APPL STRESS PHYS/QHP JOINT RADIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97140","description":"MANUAL THERAPY TQS 1 OR GT  REGIONS EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4459","description":"MANUAL TRANSANAL IRR SYS W/O CATHETER ANY TYPE","negotiated_rates":[{"provider_references":[210414],"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":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2227","description":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2204.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2204.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2227","description":"MANUAL WC ACCESS GEAR REDUCTION DRIVE WHEEL EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2204.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2204.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2205","description":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2205","description":"MANUAL WC ACCESS HANDRIM W/O PROJ REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2203","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2203","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 20  LT  22 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2204","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":958.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2204","description":"MANUAL WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":958.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2202","description":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2202","description":"MANUAL WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":558.437,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":558.437,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2206","description":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2206","description":"MANUAL WHEELCHAIR AC WL ASM CMPL REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0959","description":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0959","description":"MANUAL WHEELCHAIR ACCESS ADAPTER FOR AMPUTEE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0974","description":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0974","description":"MANUAL WHEELCHAIR ACCESS ANTI-ROLLBACK DEVICE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0961","description":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0961","description":"MANUAL WHEELCHAIR ACCESS WHEEL LOCK BRAKE EXT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0986","description":"MANUAL WHEELCHAIR ACCESSORY POWER ASSIST SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0992","description":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0992","description":"MANUAL WHEELCHAIR ACCESSORY SOLID SEAT INSERT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0958","description":"MANUAL WHLCHAIR ACCESS 1-ARM DRIVE ATTACHMENT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION BARTHOLINS GLAND CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56440","description":"MARSUPIALIZATION BARTHOLINS GLAND CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION BARTHOLINS GLAND CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56440","description":"MARSUPIALIZATION BARTHOLINS GLAND CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION CST/ABSC LVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47300","description":"MARSUPIALIZATION CST/ABSC LVR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":715.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION CST/ABSC LVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47300","description":"MARSUPIALIZATION CST/ABSC LVR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":715.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION PANCREATIC CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48500","description":"MARSUPIALIZATION PANCREATIC CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":725.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION PANCREATIC CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48500","description":"MARSUPIALIZATION PANCREATIC CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":725.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42409","description":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42409","description":"MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53240","description":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53240","description":"MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83789","description":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83789","description":"MASS SPECT AND TANDEM MASS SPECT NONDRG ANAL NES EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19307","description":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19307","description":"MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":748.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":748.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19306","description":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":776.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19306","description":"MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":776.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19305","description":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":726.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19305","description":"MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":726.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":425.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":425.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":477.2989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":477.2989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":577.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":577.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":582.2779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":582.2779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":651.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":651.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY FOR GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19300","description":"MASTECTOMY FOR GYNECOMASTIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":425.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":425.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":477.2989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":477.2989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":577.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":577.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":582.2779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":582.2779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":651.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":651.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY GYNECOMASTIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19300","description":"MASTECTOMY GYNECOMASTIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":425.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":425.9617,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.6905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":477.2989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":477.2989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":512.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.4185,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":577.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":577.4014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":582.2779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":582.2779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":651.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":651.8186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19301","description":"MASTECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19301","description":"MASTECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19302","description":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19302","description":"MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19303","description":"MASTECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":608.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19303","description":"MASTECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":608.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOID OBLITERATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69670","description":"MASTOID OBLITERATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOID OBLITERATION SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69670","description":"MASTOID OBLITERATION SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69502","description":"MASTOIDECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69502","description":"MASTOIDECTOMY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY MODIFIED RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69505","description":"MASTOIDECTOMY MODIFIED RADICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":796.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY MODIFIED RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69505","description":"MASTOIDECTOMY MODIFIED RADICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":796.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":796.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY RADICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69511","description":"MASTOIDECTOMY RADICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":814.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOIDECTOMY RADICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69511","description":"MASTOIDECTOMY RADICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":814.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":532.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":532.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":547.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":547.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":581.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":581.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":601.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":601.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":657.0959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":657.0959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19316","description":"MASTOPEXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":532.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":532.5439,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":547.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":547.3071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":581.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":581.0421,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":601.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":601.5502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":657.0959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":657.0959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19020","description":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19020","description":"MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS FOAM RUBBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0272","description":"MATTRESS FOAM RUBBER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS FOAM RUBBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0272","description":"MATTRESS FOAM RUBBER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS INNER SPRING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0271","description":"MATTRESS INNER SPRING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MATTRESS INNER SPRING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0271","description":"MATTRESS INNER SPRING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.489,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94200","description":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94200","description":"MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42280","description":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42280","description":"MAXILLARY IMPRESJ PALATAL PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/O ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31225","description":"MAXILLECTOMY W/O ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/O ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31225","description":"MAXILLECTOMY W/O ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1150.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1150.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31230","description":"MAXILLECTOMY W/ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1280.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1280.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MAXILLECTOMY W/ORBITAL EXENTERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31230","description":"MAXILLECTOMY W/ORBITAL EXENTERATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1280.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1280.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36596","description":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36596","description":"MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36595","description":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36595","description":"MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81290","description":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81290","description":"MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.595,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51798","description":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51798","description":"MEAS POST-VOIDING RESIDUAL URINE and /BLADDER CAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94012","description":"MEAS SPIRO FRCD EXP FLO PRE and POST BRONCH INF/2YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94011","description":"MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT and /2 Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.245,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94013","description":"MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAT FIBERS FECES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89160","description":"MEAT FIBERS FECES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEAT FIBERS FECES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89160","description":"MEAT FIBERS FECES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.268,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53020","description":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53020","description":"MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[210414],"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":"MEATOTOMY CUTTING MEATUS SPX INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53025","description":"MEATOTOMY CUTTING MEATUS SPX INFANT","negotiated_rates":[{"provider_references":[210414],"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":"MECHANICAL FRAGILITY RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85547","description":"MECHANICAL FRAGILITY RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL FRAGILITY RBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85547","description":"MECHANICAL FRAGILITY RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75902","description":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75902","description":"MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75901","description":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75901","description":"MECHANICAL RMVL PERICATHETER OBSTR MATRL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81302","description":"MECP2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MECP2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81302","description":"MECP2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":464.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":464.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MED GENETICS and GENETIC COUNSELING SVCS EACH 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96041","description":"MED GENETICS and GENETIC COUNSELING SVCS EACH 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"MED GENETICS and GENETIC COUNSELING SVCS EACH 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96041","description":"MED GENETICS and GENETIC COUNSELING SVCS EACH 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"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":"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":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39000","description":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39000","description":"MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39010","description":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39010","description":"MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97802","description":"MEDICAL NUTRITION ASSMT AND IVNTJ INDIV EACH 15 MI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97803","description":"MEDICAL NUTRITION RE-ASSMT AND IVNTJ INDIV EA 15 M","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97804","description":"MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL TESTIMONY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99075","description":"MEDICAL TESTIMONY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICAL TESTIMONY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99075","description":"MEDICAL TESTIMONY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ADMIN  AND  HEMODYNAMIC MEASURMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93463","description":"MEDICATION ADMIN  AND  HEMODYNAMIC MEASURMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION ADMIN  AND  HEMODYNAMIC MEASURMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93463","description":"MEDICATION ADMIN  AND  HEMODYNAMIC MEASURMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99606","description":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99606","description":"MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99605","description":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99605","description":"MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MELPHALAN ORAL 2 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8600","description":"MELPHALAN ORAL 2 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21060","description":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21060","description":"MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METANEPHRINES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83835","description":"METANEPHRINES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METANEPHRINES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83835","description":"METANEPHRINES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3410","description":"METATARSAL BAR WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE BETWEEN SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3410","description":"METATARSAL BAR WEDGE BETWEEN SOLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.885,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE ROCKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3400","description":"METATARSAL BAR WEDGE ROCKER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSAL BAR WEDGE ROCKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3400","description":"METATARSAL BAR WEDGE ROCKER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.359,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METATARSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28140","description":"METATARSECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHEMALBUMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83857","description":"METHEMALBUMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METHEMALBUMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83857","description":"METHEMALBUMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METYRAPONE PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80436","description":"METYRAPONE PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"METYRAPONE PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80436","description":"METYRAPONE PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47360","description":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1171.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1171.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47360","description":"MGMT LVR HEMRRG CPLX SUTR WND/INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1171.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1171.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47361","description":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1873.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47361","description":"MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1873.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1873.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47362","description":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47362","description":"MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47350","description":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47350","description":"MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":856.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.13,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROCAPILLARY TUBE SEALANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4652","description":"MICROCAPILLARY TUBE SEALANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88380","description":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88380","description":"MICRODISSECTION PREP IDENTIFIED TARGET LASER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88381","description":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88381","description":"MICRODISSECTION PREP IDENTIFIED TARGET MANUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81301","description":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSOMAL ANTIBODIES EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86376","description":"MICROSOMAL ANTIBODIES EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSOMAL ANTIBODIES EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86376","description":"MICROSOMAL ANTIBODIES EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69990","description":"MICROSURG TQS REQ USE OPERATING MICROSCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6882","description":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3081.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3081.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6882","description":"MICRPRROCSS CNTRL FEATUR ADD UP LIMB PROSTH DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3081.276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3081.276,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69440","description":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69440","description":"MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MISCELLANEOUS DME SUPPLY OR ACCESSORY NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9999","description":"MISCELLANEOUS DME SUPPLY OR ACCESSORY NOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77338","description":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.0613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.0613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":205.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":205.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.8919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.8919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":550.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":550.1128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77338","description":"MLC IMRT DESIGN  AND  CONSTRUCTION PER IMRT PLAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.0613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.0613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":205.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":205.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":440.8919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":440.8919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":487.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":487.0519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":550.1128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":550.1128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81294","description":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81294","description":"MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.112,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81292","description":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81292","description":"MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81293","description":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81293","description":"MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81288","description":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81288","description":"MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96202","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96203","description":"MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24410","description":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24410","description":"MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25375","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25375","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25370","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25370","description":"MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95805","description":"MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SLD C TIRE I WHL SZ RPL E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2222","description":"MNL WC AC SLD C TIRE I WHL SZ RPL E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SLD C TIRE I WHL SZ RPL E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2222","description":"MNL WC AC SLD C TIRE I WHL SZ RPL E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2221","description":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2221","description":"MNL WC AC SOLID CASTER TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2231","description":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2231","description":"MNL WC ACCESS SOLID SEAT SUPP BASE INCL HARDWARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2212","description":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2212","description":"MNL WC ACESS TUBE PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.919,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2213","description":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2213","description":"MNL WC ACSS INSRT PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2224","description":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2224","description":"MNL WC ACSS PROP WHL EXCLD TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.197,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR ADD-ON CONVRT MNL WC MOTRIZD WC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0983","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC JS CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2944.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0984","description":"MNL WC ACSS PWR AO CVT MNL WC MTR WC TILLR CNTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2250.908,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2220","description":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2220","description":"MNL WC ACSS SOLD PROPULSION TIRE SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2225","description":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2225","description":"MNL WC CASTER WHL EXCLD TIRE ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.504,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0971","description":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0971","description":"MNL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVC EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.106,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0986","description":"MNL WHEELCHAIR ACSS PUSH-RIM ACT PWR ASSIST SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5731.253,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2219","description":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2219","description":"MNL WHLCHAIR ACCESS FOAM CASTER TIRE ANY SIZE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2214","description":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2214","description":"MNL WHLCHAIR ACCESS PNEUMAT CASTER TIRE ANY SIZE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2226","description":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2226","description":"MNL WHLCHAIR ACSS CASTR FORK ANY SZ REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2211","description":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2211","description":"MNL WHLCHAIR ACSS PNEUMAT PROPULSION TIRE ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2215","description":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2215","description":"MNL WHLCHAIR ACSS TUBE PNEUMAT CASTR TIRE ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0967","description":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0967","description":"MNL WHLCHR AC HND RIM PROJ ANY TYP REPL ONLY  EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23700","description":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23700","description":"MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20950","description":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20950","description":"MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44139","description":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44139","description":"MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1011","description":"MOD PEDIATRIC SIZE WC WIDTH ADJUSTMENT PACKAGE","negotiated_rates":[{"provider_references":[210414],"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":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99153","description":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99153","description":"MOD SED SAME PHYS/QHP EACH ADDL 15 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99152","description":"MOD SED SAME PHYS/QHP INITIAL 15 MINS 5 OR GT  YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17313","description":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17313","description":"MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17315","description":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17315","description":"MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17314","description":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":433.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":433.0761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17314","description":"MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":346.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":346.0333,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.8745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":433.0761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":433.0761,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88275","description":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88275","description":"MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0452","description":"MOLECLR PATH PROCEDURE; PHYSICIAN INTEPR REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88273","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88273","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88272","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88272","description":"MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS DNA PROBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88271","description":"MOLECULAR CYTOGENETICS DNA PROBE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS DNA PROBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88271","description":"MOLECULAR CYTOGENETICS DNA PROBE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.854,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88274","description":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88274","description":"MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81401","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81401","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81402","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81402","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81404","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81404","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81407","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":541.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81407","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 8","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":541.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81408","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1280.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1280.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1760.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81408","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 9","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1280.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1280.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1760.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1760.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86356","description":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86356","description":"MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88356","description":"MORPHOMETRIC ANALYSIS NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88356","description":"MORPHOMETRIC ANALYSIS NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88355","description":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88355","description":"MORPHOMETRIC ANALYSIS SKELETAL MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88358","description":"MORPHOMETRIC ANALYSIS TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MORPHOMETRIC ANALYSIS TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88358","description":"MORPHOMETRIC ANALYSIS TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92611","description":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92611","description":"MOTION FLUOR EVAL SWLNG FUNCJ C/V REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95905","description":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95905","description":"MOTOR  and /SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPL GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81338","description":"MPL GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.208,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MPL GENE ANALYSIS COMMON VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81338","description":"MPL GENE ANALYSIS COMMON VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.208,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.208,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.93,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.93,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.93,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA ABDOMEN W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74185","description":"MRA ABDOMEN W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA ABDOMEN W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74185","description":"MRA ABDOMEN W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71555","description":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71555","description":"MRA CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70545","description":"MRA HEAD W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70545","description":"MRA HEAD W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70546","description":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70546","description":"MRA HEAD W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":"MRA HEAD W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70544","description":"MRA HEAD W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA HEAD W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70544","description":"MRA HEAD W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73725","description":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73725","description":"MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70548","description":"MRA NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70548","description":"MRA NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70549","description":"MRA NECK W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O  and W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70549","description":"MRA NECK W/O  and W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70547","description":"MRA NECK W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA NECK W/O CONTRST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70547","description":"MRA NECK W/O CONTRST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA PELVIS W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72198","description":"MRA PELVIS W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA PELVIS W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72198","description":"MRA PELVIS W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72159","description":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":312.6324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":312.6324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72159","description":"MRA SPINAL CANAL W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.8306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":281.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":281.3692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":312.6324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":312.6324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":327.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":327.8632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":349.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":349.0394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":398.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":398.0051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73225","description":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73225","description":"MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74182","description":"MRI ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74182","description":"MRI ABDOMEN W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74183","description":"MRI ABDOMEN W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74183","description":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74183","description":"MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74181","description":"MRI ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ABDOMEN W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74181","description":"MRI ABDOMEN W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73722","description":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73722","description":"MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73723","description":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73723","description":"MRI ANY JT LOWER EXTREM W/O  and  W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":257.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73721","description":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73721","description":"MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73222","description":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73222","description":"MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":208.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":208.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73223","description":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73223","description":"MRI ANY JT UPPER EXTREMITY W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73221","description":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73221","description":"MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77084","description":"MRI BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BONE MARROW BLOOD SUPPLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77084","description":"MRI BONE MARROW BLOOD SUPPLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70552","description":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70552","description":"MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.464,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70554","description":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70554","description":"MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70555","description":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70555","description":"MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70558","description":"MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70559","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O  and  W/CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70557","description":"MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77047","description":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77047","description":"MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77049","description":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77049","description":"MRI BREAST WITHOUT and WITH CONTRAST W/CAD BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71551","description":"MRI CHEST W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71551","description":"MRI CHEST W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71552","description":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71552","description":"MRI CHEST W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71550","description":"MRI CHEST W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI CHEST W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71550","description":"MRI CHEST W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77022","description":"MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.503,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77021","description":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77021","description":"MRI GUIDANCE NEEDLE PLACEMENT RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":276.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":276.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73719","description":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73719","description":"MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73720","description":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73720","description":"MRI LOWER EXTREM OTH/THN JT W/O  and  W/CONTR MATR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73718","description":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73718","description":"MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70542","description":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70542","description":"MRI ORBIT FACE  and  NECK W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and /NECK W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70540","description":"MRI ORBIT FACE  and /NECK W/O CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI ORBIT FACE  and /NECK W/O CONTRAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70540","description":"MRI ORBIT FACE  and /NECK W/O CONTRAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72196","description":"MRI PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72196","description":"MRI PELVIS W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":180.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":180.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72197","description":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72197","description":"MRI PELVIS W/O  and  W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72195","description":"MRI PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI PELVIS W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72195","description":"MRI PELVIS W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPECTROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76390","description":"MRI SPECTROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72142","description":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72142","description":"MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72156","description":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72156","description":"MRI SPINAL CANAL CERVICAL W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72141","description":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72141","description":"MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72149","description":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72149","description":"MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72158","description":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72158","description":"MRI SPINAL CANAL LUMBAR W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72148","description":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72148","description":"MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72147","description":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72147","description":"MRI SPINAL CANAL THORACIC W/CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":182.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":182.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72157","description":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72157","description":"MRI SPINAL CANAL THORACIC W/O  and  W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":214.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":214.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72146","description":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72146","description":"MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70336","description":"MRI TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI TEMPOROMANDIBULAR JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70336","description":"MRI TEMPOROMANDIBULAR JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73220","description":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73220","description":"MRI UPPER EXTREM OTHER THAN JT W/O  and  W/CONTRAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73219","description":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73219","description":"MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73218","description":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73218","description":"MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81297","description":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81297","description":"MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":187.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":187.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81295","description":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81295","description":"MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81300","description":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81300","description":"MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81298","description":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81298","description":"MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81299","description":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81299","description":"MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.04,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCIN SYNOVIAL FLUID ROPES TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83872","description":"MUCIN SYNOVIAL FLUID ROPES TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCIN SYNOVIAL FLUID ROPES TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83872","description":"MUCIN SYNOVIAL FLUID ROPES TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83864","description":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83864","description":"MUCOPOLYSACCHARIDES ACID QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIFETAL PREGNANCY REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59866","description":"MULTIFETAL PREGNANCY REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90849","description":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90849","description":"MULTIPLE FAMILY GROUP PSYCHOTHERAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MURAMIDASE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"MURAMIDASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MURAMIDASE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85549","description":"MURAMIDASE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15738","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15738","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15734","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":953.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15734","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":953.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15736","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":780.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15736","description":"MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":780.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23397","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23397","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23395","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23395","description":"MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24301","description":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24301","description":"MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83873","description":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83873","description":"MYELIN BASIC PROTEIN CEREBROSPINAL FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY CERVICAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72240","description":"MYELOGRAPHY CERVICAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY CERVICAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72240","description":"MYELOGRAPHY CERVICAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY THORACIC RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72255","description":"MYELOGRAPHY THORACIC RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPHY THORACIC RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72255","description":"MYELOGRAPHY THORACIC RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY 2/MORE REGIONS RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72270","description":"MYELOGRAPY 2/MORE REGIONS RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY 2/MORE REGIONS RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72270","description":"MYELOGRAPY 2/MORE REGIONS RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY LUMBOSACRAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72265","description":"MYELOGRAPY LUMBOSACRAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY LUMBOSACRAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72265","description":"MYELOGRAPY LUMBOSACRAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY POST FOSSA RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70010","description":"MYELOGRAPY POST FOSSA RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYELOGRAPY POST FOSSA RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70010","description":"MYELOGRAPY POST FOSSA RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78466","description":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78466","description":"MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78453","description":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78453","description":"MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78454","description":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78454","description":"MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33542","description":"MYOCARDIAL RESECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1601.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1601.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33542","description":"MYOCARDIAL RESECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1601.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1601.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78452","description":"MYOCARDIAL SPECT MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT MULTIPLE STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78452","description":"MYOCARDIAL SPECT MULTIPLE STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78451","description":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78451","description":"MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":163.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78468","description":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78468","description":"MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78459","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78459","description":"MYOCRD IMG PET METAB EVAL SINGLE STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78492","description":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78492","description":"MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST AND STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78491","description":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78491","description":"MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78469","description":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78469","description":"MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOGLOBIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83874","description":"MYOGLOBIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOGLOBIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83874","description":"MYOGLOBIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58145","description":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58145","description":"MYOMECTOMY 1-4 MYOMAS 250 GM OR LT  VAGINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58140","description":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58140","description":"MYOMECTOMY 1-4 MYOMAS W/250 GM OR LT  ABDOMINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58146","description":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58146","description":"MYOMECTOMY 5 OR GT  MYOMAS  and  OR GT 250 GM ABDOMINA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69620","description":"MYRINGOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69620","description":"MYRINGOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69420","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69420","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69421","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69421","description":"MYRINGOTOMY ASPIR and /EUSTACHIAN TUBE NFLTJ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Mattress foam rubber","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0272","description":"Mattress foam rubber","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.755,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Medical testimony","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99075","description":"Medical testimony","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Metyrapone panel","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80436","description":"Metyrapone panel","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Muramidase","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85549","description":"Muramidase","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93924","description":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93924","description":"N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90865","description":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90865","description":"NARCOSYNTHESIS PSYC DX AND THER PURPOSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31231","description":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31231","description":"NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7029","description":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7029","description":"NASAL PILLOWS COMB ORAL/NASL MASK REPL ONLY PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SMEAR EOSINOPHILS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89190","description":"NASAL SMEAR EOSINOPHILS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL SMEAR EOSINOPHILS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89190","description":"NASAL SMEAR EOSINOPHILS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31233","description":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31233","description":"NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31235","description":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31235","description":"NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31256","description":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31256","description":"NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31287","description":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31287","description":"NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31290","description":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31290","description":"NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31291","description":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":776.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31291","description":"NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":776.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":776.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31293","description":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31293","description":"NASAL/SINUS NDSC SURG MEDIAL and INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31292","description":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31292","description":"NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPC/DBRDMT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31237","description":"NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31240","description":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31240","description":"NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMORRHAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31238","description":"NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31239","description":"NASAL/SINUS NDSC SURG W/DACRYOCYSTORHINOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31296","description":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1483.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1483.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1684.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1684.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1949.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1949.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31296","description":"NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1483.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1483.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1684.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1684.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1949.4435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1949.4435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31295","description":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1452.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1452.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1649.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1649.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1908.4606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1908.4606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31295","description":"NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1452.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1452.2711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1649.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1649.0358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1908.4606,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1908.4606,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31297","description":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1418.8702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1418.8702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1615.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1615.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1873.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1873.3897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31297","description":"NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1418.8702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1418.8702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1615.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1615.2007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1873.3897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1873.3897,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31294","description":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":777.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31294","description":"NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":777.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31254","description":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31254","description":"NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31276","description":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31276","description":"NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31255","description":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31255","description":"NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7034","description":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7034","description":"NASL INTRFCE POS ARWAY PRSS DEVC W/WO HEAD STRAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43752","description":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43752","description":"NASO/ORO-GASTRIC TUBE PLMT REQ PHYS and FLUOR GDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92511","description":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92511","description":"NASOPHARYNGOSCOPY W/ENDOSCOPE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATRIURETIC PEPTIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83880","description":"NATRIURETIC PEPTIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATRIURETIC PEPTIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83880","description":"NATRIURETIC PEPTIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATURAL KILLER CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86357","description":"NATURAL KILLER CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NATURAL KILLER CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86357","description":"NATURAL KILLER CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95860","description":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95860","description":"NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95861","description":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95861","description":"NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95863","description":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95863","description":"NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95864","description":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95864","description":"NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51785","description":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51785","description":"NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92265","description":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92265","description":"NDL OCULOELECTROMYOGRAPHY 1 Plus EO MUSC 1/BOTH EYE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33265","description":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1090.3724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1090.3724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1170.3007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1170.3007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1188.0032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1188.0032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1276.8496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1276.8496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1282.4276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1282.4276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1380.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1380.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33265","description":"NDSC ABLATION  and  RCNSTJ ATRIA LIMITED W/O BYPAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1090.3724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1090.3724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1170.3007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1170.3007,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1188.0032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1188.0032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1276.8496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1276.8496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1282.4276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1282.4276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1380.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1380.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44386","description":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44386","description":"NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51715","description":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51715","description":"NDSC NJX IMPLT MATRL URT and /BLDR NCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33508","description":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33508","description":"NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50980","description":"NDSC URETEROTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50980","description":"NDSC URETEROTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50972","description":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50972","description":"NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29848","description":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29848","description":"NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEB GLASS/AUTOCLAV NOT USE W/O2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7017","description":"NEB GLASS/AUTOCLAV NOT USE W/O2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95868","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95868","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95867","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95867","description":"NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95866","description":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95866","description":"NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY LARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95865","description":"NEEDLE ELECTROMYOGRAPHY LARYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE ELECTROMYOGRAPHY LARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95865","description":"NEEDLE ELECTROMYOGRAPHY LARYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95885","description":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95885","description":"NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95886","description":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95886","description":"NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95874","description":"NEEDLE EMG GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG GUID W/CHEMODENERVATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95874","description":"NEEDLE EMG GUID W/CHEMODENERVATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95870","description":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95870","description":"NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95887","description":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95887","description":"NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95869","description":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95869","description":"NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95872","description":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95872","description":"NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92265","description":"NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97606","description":"NEGATIVE PRESSURE WOUND THERAPY DME  GT 50 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97605","description":"NEGATIVE PRESSURE WOUND THERAPY DME  LT or equal to  50 SQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50240","description":"NEPHRECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":837.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50240","description":"NEPHRECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":837.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50236","description":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":921.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50236","description":"NEPHRECTOMY TOT URETEREC AND BLDR CUFF SEPAR INCISN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":921.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50230","description":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50230","description":"NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50225","description":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":747.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50225","description":"NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":747.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":747.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50220","description":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50220","description":"NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50234","description":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":818.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50234","description":"NEPHRECTOMY W/TOT URETERECT and BLDR CUFF SAME INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":818.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50070","description":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":746.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50070","description":"NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":746.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY REMOVAL STAGE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50060","description":"NEPHROLITHOTOMY REMOVAL STAGE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":916.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":916.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50075","description":"NEPHROLITHOTOMY RMVL LG STAGHORN STAGE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":916.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":916.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY FOR CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY FOR CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":760.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":760.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50065","description":"NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":760.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50500","description":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":809.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50500","description":"NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":809.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":809.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50040","description":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50040","description":"NEPHROSTOMY NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROSTOMY/NEPHROTOMY W/DRAINAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50040","description":"NEPHROSTOMY/NEPHROTOMY W/DRAINAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50045","description":"NEPHROTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEPHROTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50045","description":"NEPHROTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 7-8 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95910","description":"NERVE CONDUCTION STUDIES 7-8 STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 7-8 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95910","description":"NERVE CONDUCTION STUDIES 7-8 STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95911","description":"NERVE CONDUCTION STUDIES 9-10 STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE CONDUCTION STUDIES 9-10 STUDIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95911","description":"NERVE CONDUCTION STUDIES 9-10 STUDIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64893","description":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":716.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64893","description":"NERVE GRAFT 1 STRAND ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":716.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64892","description":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64892","description":"NERVE GRAFT 1 STRAND ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64891","description":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64891","description":"NERVE GRAFT 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64890","description":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64890","description":"NERVE GRAFT 1 STRAND HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE 1 STRAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64901","description":"NERVE GRAFT EACH NERVE 1 STRAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE 1 STRAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64901","description":"NERVE GRAFT EACH NERVE 1 STRAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64902","description":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64902","description":"NERVE GRAFT EACH NERVE MULTIPLE STRANDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64886","description":"NERVE GRAFT HEAD/NECK  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64886","description":"NERVE GRAFT HEAD/NECK  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":819.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  LT  4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64885","description":"NERVE GRAFT HEAD/NECK  LT  4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT HEAD/NECK  LT  4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64885","description":"NERVE GRAFT HEAD/NECK  LT  4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":684.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":684.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64898","description":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64898","description":"NERVE GRAFT MLT STRANDS ARM/LEG  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64897","description":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":807.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64897","description":"NERVE GRAFT MLT STRANDS ARM/LEG  LT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":807.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64896","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64896","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  GT  4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64895","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64895","description":"NERVE GRAFT MLT STRANDS HAND/FOOT  LT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICAL TRANSFER SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64907","description":"NERVE PEDICAL TRANSFER SECOND STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICAL TRANSFER SECOND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64907","description":"NERVE PEDICAL TRANSFER SECOND STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICLE TRANSFER FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64905","description":"NERVE PEDICLE TRANSFER FIRST STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":635.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE PEDICLE TRANSFER FIRST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64905","description":"NERVE PEDICLE TRANSFER FIRST STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":635.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":635.316,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1064.6537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1064.6537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":642.1657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":642.1657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":705.7276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":705.7276,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":774.1327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":774.1327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":833.9871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":833.9871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":883.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":883.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":912.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":912.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":971.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":971.9996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/CONDUIT EACH NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64910","description":"NERVE REPAIR W/CONDUIT EACH NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE REPAIR W/CONDUIT EACH NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64910","description":"NERVE REPAIR W/CONDUIT EACH NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE TEASING PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88362","description":"NERVE TEASING PREPARATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NERVE TEASING PREPARATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88362","description":"NERVE TEASING PREPARATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.8539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.8539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28055","description":"NEURECTOMY INTRINSIC MUSCULATURE OF FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":225.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":225.7901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":240.8539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":240.8539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.2325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.1193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":369.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":401.6458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY POPLITEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27326","description":"NEURECTOMY POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURECTOMY POPLITEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27326","description":"NEURECTOMY POPLITEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.004,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62164","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1326.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62164","description":"NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1326.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1326.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95937","description":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95937","description":"NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64721","description":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64721","description":"NEUROPLASTY  and /TRANSPOS MEDIAN NRV CARPAL TUNNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64716","description":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64716","description":"NEUROPLASTY  and /TRANSPOSITION CRANIAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":331.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":331.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64718","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64718","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64719","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64719","description":"NEUROPLASTY  and /TRANSPOSITION ULNAR NERVE WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64702","description":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64702","description":"NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPLASTY NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64704","description":"NEUROPLASTY NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96132","description":"NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64708","description":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64708","description":"NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64713","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64713","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64714","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64714","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64712","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64712","description":"NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT DNA/RNA INFLUENZA  GT 2 TYPES EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87503","description":"NFCT AGENT DNA/RNA INFLUENZA  GT 2 TYPES EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT DNA/RNA INFLUENZA  GT 2 TYPES EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87503","description":"NFCT AGENT DNA/RNA INFLUENZA  GT 2 TYPES EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87902","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87902","description":"NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87902","description":"NFCT AGNT GENOTYP NUCLEIC ACID HEPATITIS C VIRUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87900","description":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87900","description":"NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87906","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87906","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87901","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87901","description":"NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT GEXYP DNA/RNA HIV 1 OTHER REGION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87906","description":"NFCT GEXYP DNA/RNA HIV 1 OTHER REGION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR AND PROTEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87901","description":"NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR AND PROTEAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87904","description":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87904","description":"NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87903","description":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87903","description":"NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77750","description":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77750","description":"NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":259.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":259.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19110","description":"NIPPLE EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19110","description":"NIPPLE EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE/AREOLA RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19350","description":"NIPPLE/AREOLA RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":541.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NIPPLE/AREOLA RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19350","description":"NIPPLE/AREOLA RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":541.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":541.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITRIC OXIDE EXPIRED GAS DETERMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95012","description":"NITRIC OXIDE EXPIRED GAS DETERMINATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITRIC OXIDE EXPIRED GAS DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95012","description":"NITRIC OXIDE EXPIRED GAS DETERMINATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITROBLUE TETRAZOLIUM DYE TEST NTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86384","description":"NITROBLUE TETRAZOLIUM DYE TEST NTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITROBLUE TETRAZOLIUM DYE TEST NTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86384","description":"NITROBLUE TETRAZOLIUM DYE TEST NTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9526","description":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9526","description":"NITROGEN N-13 AMMONIA DX STDY DOSE UP TO 40 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51605","description":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51605","description":"NJX  and  PLACEMENT CHAIN CONTRAST and /URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64455","description":"NJX AA and /STRD PLANTAR COMMON DIGITAL NERVES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64479","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64479","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64480","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64480","description":"NJX AA and /STRD TFRML EPI CERVICAL/THORACIC EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64483","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64483","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64484","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64484","description":"NJX AA and /STRD TFRML EPI LUMBAR/SACRAL EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64510","description":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64510","description":"NJX ANES STELLATE GANGLION CRV SYMPATHETIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64455","description":"NJX ANES and /STEROID PLANTAR COMMON DIGITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64479","description":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC 1 LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":172.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC EA LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64480","description":"NJX ANES and /STRD W/IMG TFRML EDRL CRV/THRC EA LV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64483","description":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC EA LV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64484","description":"NJX ANES and /STRD W/IMG TFRML EDRL LMBR/SAC EA LV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62294","description":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62294","description":"NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":610.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":610.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54235","description":"NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51600","description":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51600","description":"NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93568","description":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93568","description":"NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/L ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93566","description":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93566","description":"NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93567","description":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93567","description":"NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93563","description":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93563","description":"NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93564","description":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93564","description":"NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64490","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64490","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":125.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64491","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64491","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64492","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64492","description":"NJX DX/THER AGT PVRT FACET JT CRV/THRC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64493","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64493","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64494","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64494","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64495","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64495","description":"NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3 Plus  LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0213T","description":"NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0213T","description":"NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0214T","description":"NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0214T","description":"NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0216T","description":"NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0216T","description":"NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0217T","description":"NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0217T","description":"NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62323","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62323","description":"NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD and  GT  LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0215T","description":"NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD and  GT  LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD and  GT  LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0215T","description":"NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD and  GT  LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD and  GT  LVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0218T","description":"NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD and  GT  LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD and  GT  LVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0218T","description":"NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD and  GT  LVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PULMONARY ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93568","description":"NJX PULMONARY ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36005","description":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36005","description":"NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX RETROGRADE URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51610","description":"NJX RETROGRADE URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX RETROGRADE URETHROCSTOGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51610","description":"NJX RETROGRADE URETHROCSTOGRAPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78808","description":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78808","description":"NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL HRT ART CONGENITAL HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93563","description":"NJX SEL HRT ART CONGENITAL HRT CATH W/S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93564","description":"NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93565","description":"NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93566","description":"NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX SUPRAVALV AORTOG HRT CATH W/S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93567","description":"NJX SUPRAVALV AORTOG HRT CATH W/S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50690","description":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50690","description":"NJX VISUALIZATION ILEAL CONDUIT and /URETEROPYELOG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","12","16","17","24","25","26","33","53","55","56","71","72","81"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","12","16","17","24","25","26","33","53","55","56","71","72","81"]}]}]},{"negotiation_arrangement":"ffs","name":"NOC FOR PARENTERAL SUPPLIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"B9999","description":"NOC FOR PARENTERAL SUPPLIES","negotiated_rates":[{"provider_references":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0740","description":"NON-IMPL PELV FLR ELECTRICAL STIMULATOR CMPL SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":803.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":803.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93922","description":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93922","description":"NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93923","description":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93923","description":"NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9698","description":"NON-RADIOACTV CONTRST IMAG MATERIAL NOC PER STDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCARDIAC VASCULAR FLOW IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78445","description":"NONCARDIAC VASCULAR FLOW IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONCARDIAC VASCULAR FLOW IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78445","description":"NONCARDIAC VASCULAR FLOW IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT and BUS INTRA-/INTERSTATE CARRIER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0110","description":"NONEMERG TRNSPRT and BUS INTRA-/INTERSTATE CARRIER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERG TRNSPRT: MINI-BUS MTN AREA/OTH SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0120","description":"NONEMERG TRNSPRT: MINI-BUS MTN AREA/OTH SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0130","description":"NONEMERGENCY TRANSPORTATION: WHEELCHAIR VAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONEMERGENCY TRANSPORTATION; TAXI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0100","description":"NONEMERGENCY TRANSPORTATION; TAXI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94762","description":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94762","description":"NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94760","description":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94760","description":"NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONPRESCRIPTION DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9150","description":"NONPRESCRIPTION DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0665","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0665","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.953,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.953,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0660","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0660","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS FULL LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0655","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0655","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF ARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":127.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":127.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.88,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0666","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0666","description":"NONSEG PNEUMAT APPLINC W/PNEUMAT COMPRS HALF LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4256","description":"NORMAL LOW AND HIGH CALIBRATOR SOLUTION/CHIPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRAS GENE ANALYSIS VARIANTS IN EXON 2 AND 3","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81311","description":"NRAS GENE ANALYSIS VARIANTS IN EXON 2 AND 3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRAS GENE ANALYSIS VARIANTS IN EXON 2 AND 3","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81311","description":"NRAS GENE ANALYSIS VARIANTS IN EXON 2 AND 3","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NRV GRF 1 STRAND HAND/FOOT  GT 4 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64891","description":"NRV GRF 1 STRAND HAND/FOOT  GT 4 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":733.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":733.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31267","description":"NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31288","description":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31288","description":"NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77301","description":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1413.5261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1413.5261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1617.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1617.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1819.4472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1819.4472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1885.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1885.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2054.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2054.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2357.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2357.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":411.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":411.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":444.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":444.4992,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77301","description":"NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1413.5261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1413.5261,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1617.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1617.8728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1819.4472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1819.4472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1885.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1885.2136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2054.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2054.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2357.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2357.0013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":390.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":390.1225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":411.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":411.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":444.4992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":444.4992,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62161","description":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":967.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62161","description":"NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":967.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":967.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62165","description":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":960.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62165","description":"NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":960.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62162","description":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1195.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62162","description":"NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1195.172,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1195.172,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62160","description":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62160","description":"NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DISCHARGE MANAGEMENT 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99315","description":"NURSING FACILITY DSCHRG MGMT 30 MIN OR LT  TOT TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99316","description":"NURSING FACILITY DSCHRG MGMT 30 MIN Plus  TOT TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82657","description":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82657","description":"NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82658","description":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82658","description":"NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Nerve teasing preparations","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88362","description":"Nerve teasing preparations","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94690","description":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94690","description":"O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94681","description":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94681","description":"O2 UPTK EXP GAS ALYS W/CO2 OUTPUT  PCT  O2 XTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST AND XERS DIRECT SIMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST AND XERS DIRECT SIMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94680","description":"O2 UPTK EXP GAS ANALYSIS REST and XERS DIRECT SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB ANTEPARTUM CARE CESAREAN DLVR  AND  POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59510","description":"OB ANTEPARTUM CARE CESAREAN DLVR  AND  POSTPARTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2189.3956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2189.3956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2421.0976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2421.0976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2612.3178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2612.3178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB ANTEPARTUM CARE CESAREAN DLVR  AND  POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59510","description":"OB ANTEPARTUM CARE CESAREAN DLVR  AND  POSTPARTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2189.3956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2189.3956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2421.0976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2421.0976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2612.3178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2612.3178,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB CARE ANTEPARTUM VAG DLVR  AND  POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59400","description":"OB CARE ANTEPARTUM VAG DLVR  AND  POSTPARTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2646.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2646.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2957.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2957.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OB CARE ANTEPARTUM VAG DLVR  AND  POSTPARTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59400","description":"OB CARE ANTEPARTUM VAG DLVR  AND  POSTPARTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2646.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2646.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2957.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2957.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33814","description":"OBLTRJ AORTOPULMONARY SEPTAL DFCT W/CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61613","description":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2061.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2061.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61613","description":"OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2061.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2061.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99234","description":"OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99235","description":"OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99236","description":"OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80055","description":"OBSTETRIC PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTETRIC PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80055","description":"OBSTETRIC PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49460","description":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49460","description":"OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58615","description":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58615","description":"OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.194,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.639,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.243,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.844,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.396,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.163,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.608,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.639,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.639,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.608,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.608,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.892,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.396,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.396,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.163,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.163,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.844,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.844,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.748,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.38,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.243,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.243,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OLIGOCLONAL IMMUNE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83916","description":"OLIGOCLONAL IMMUNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OLIGOCLONAL IMMUNE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83916","description":"OLIGOCLONAL IMMUNE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP EXTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49904","description":"OMENTAL FLAP EXTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":872.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP EXTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49904","description":"OMENTAL FLAP EXTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":872.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49905","description":"OMENTAL FLAP INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMENTAL FLAP INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49905","description":"OMENTAL FLAP INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49255","description":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49255","description":"OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81541","description":"ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2478.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2478.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3408.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3408.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81541","description":"ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2478.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2478.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3408.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3408.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81539","description":"ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81539","description":"ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN HER-2/NEU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83950","description":"ONCOPROTEIN HER-2/NEU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONCOPROTEIN HER-2/NEU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83950","description":"ONCOPROTEIN HER-2/NEU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.683,"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":[210414],"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":"ONE WAY CHEST DRAIN VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7040","description":"ONE WAY CHEST DRAIN VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ONLINE DIGITAL E/M SVC EST PT  LT 7 D 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58940","description":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58940","description":"OOPHORECTOMY PARTIAL/TOTAL UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58943","description":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58943","description":"OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32815","description":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1713.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1713.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32815","description":"OPEN CLOSURE MAJOR BRONCHIAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1713.701,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1713.701,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35600","description":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35600","description":"OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64568","description":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64568","description":"OPEN IMPLANTATION CRANIAL NERVE NEA  and  PULSE GEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64580","description":"OPEN IMPLANTATION NEA NEUROMUSCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA NEUROMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64580","description":"OPEN IMPLANTATION NEA NEUROMUSCULAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64575","description":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64575","description":"OPEN IMPLANTATION NEA PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64581","description":"OPEN IMPLANTATION NEA SACRAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN IMPLANTATION NEA SACRAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64581","description":"OPEN IMPLANTATION NEA SACRAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28446","description":"OPEN OSTEOCHONDRAL AUTOGRAFT TALUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN PERIPROSTHETIC CAPSULOTOMY BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19370","description":"OPEN PERIPROSTHETIC CAPSULOTOMY BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":435.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23616","description":"OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":792.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25525","description":"OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25526","description":"OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF ACUTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23410","description":"OPEN REPAIR OF ROTATOR CUFF ACUTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF ACUTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23410","description":"OPEN REPAIR OF ROTATOR CUFF ACUTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23412","description":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23412","description":"OPEN REPAIR OF ROTATOR CUFF CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27814","description":"OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28415","description":"OPEN TREATMENT CALCANEAL FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":724.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":724.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":837.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28420","description":"OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":837.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":837.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27202","description":"OPEN TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT COCCYGEAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27202","description":"OPEN TREATMENT COCCYGEAL FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27828","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":853.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27828","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":853.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":853.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27826","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27826","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27827","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":725.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27827","description":"OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":725.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27248","description":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27248","description":"OPEN TREATMENT GREATER TROCHANTERIC FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23630","description":"OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24579","description":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24579","description":"OPEN TREATMENT HUMERAL CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28675","description":"OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT LUNATE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25695","description":"OPEN TREATMENT LUNATE DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT LUNATE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25695","description":"OPEN TREATMENT LUNATE DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21465","description":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21465","description":"OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27766","description":"OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26715","description":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26715","description":"OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT METATARSAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28485","description":"OPEN TREATMENT METATARSAL FRACTURE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21325","description":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21325","description":"OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT OF ULNAR SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25545","description":"OPEN TREATMENT OF ULNAR SHAFT FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21422","description":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21422","description":"OPEN TREATMENT PALATAL/MAXILLARY FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":409.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":409.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27769","description":"OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27784","description":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27784","description":"OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":462.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT PROXIMAL HUMERAL FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23615","description":"OPEN TREATMENT PROXIMAL HUMERAL FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25515","description":"OPEN TREATMENT RADIAL SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28585","description":"OPEN TREATMENT TALOTARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":674.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TALUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28445","description":"OPEN TREATMENT TALUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":674.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":674.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSAL BONE DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28555","description":"OPEN TREATMENT TARSAL BONE DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28615","description":"OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21490","description":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21490","description":"OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24685","description":"OPEN TREATMENT ULNAR FRACTURE PROXIMAL END W/FIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25545","description":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25545","description":"OPEN TREATMENT ULNAR SHAFT FRACTURE W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25652","description":"OPEN TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TREATMENT ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25652","description":"OPEN TREATMENT ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23550","description":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23550","description":"OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE SHOULDER DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23660","description":"OPEN TX ACUTE SHOULDER DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE SHOULDER DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23660","description":"OPEN TX ACUTE SHOULDER DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24615","description":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24615","description":"OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26746","description":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26746","description":"OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25645","description":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25645","description":"OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25628","description":"OPEN TX CARPAL SCAPHOID NAVICULAR FX W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26685","description":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26685","description":"OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26665","description":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26665","description":"OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23515","description":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23515","description":"OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21366","description":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":818.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21366","description":"OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":818.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":818.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21365","description":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21365","description":"OPEN TX COMP FX MALAR W/INTERNAL FX and MULT SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21344","description":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":890.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21344","description":"OPEN TX COMPLICATED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":890.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":890.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21435","description":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21435","description":"OPEN TX CRANIOFACIAL SEP COMP W/INT and /XTRNL FIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21433","description":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1106.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21433","description":"OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1106.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21432","description":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21432","description":"OPEN TX CRANIOFACIAL SEP W/WIRING and /INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21343","description":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21343","description":"OPEN TX DEPRESSED FRONTAL SINUS FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED MALAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21360","description":"OPEN TX DEPRESSED MALAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED MALAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21360","description":"OPEN TX DEPRESSED MALAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21356","description":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21356","description":"OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27519","description":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27519","description":"OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27792","description":"OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26765","description":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26765","description":"OPEN TX DISTAL PHALANGEAL FRACTURE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25676","description":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25676","description":"OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27829","description":"OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27514","description":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27514","description":"OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27269","description":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":793.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27269","description":"OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":793.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":793.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27511","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":636.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27511","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":636.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27513","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27513","description":"OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":786.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":786.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28505","description":"OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":421.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":421.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28525","description":"OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.772,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.833,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.833,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.662,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.662,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24575","description":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24575","description":"OPEN TX HUMERAL EPICONDYLAR FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24545","description":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24546","description":"OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27540","description":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27540","description":"OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":529.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":529.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26785","description":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26785","description":"OPEN TX INTERPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27557","description":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27557","description":"OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27556","description":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27556","description":"OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27558","description":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27558","description":"OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21454","description":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21454","description":"OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21462","description":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1273.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21462","description":"OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1273.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1273.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21461","description":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1168.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1168.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21461","description":"OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1168.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1168.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26615","description":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26615","description":"OPEN TX METACARPAL FRACTURE SINGLE EA BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28645","description":"OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24635","description":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24635","description":"OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21330","description":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21330","description":"OPEN TX NASAL FX COMP W/INT and /XTRNL SKELETAL FI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21335","description":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21335","description":"OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21336","description":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21336","description":"OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":415.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":415.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21339","description":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21339","description":"OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21338","description":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21338","description":"OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.164,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.681,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.681,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.008,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.008,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.913,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21423","description":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21423","description":"OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26735","description":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26735","description":"OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27832","description":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27832","description":"OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24665","description":"OPEN TX RADIAL HEAD/NECK FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24665","description":"OPEN TX RADIAL HEAD/NECK FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24666","description":"OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25575","description":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25574","description":"OPEN TX RADIAL and ULNAR SHAFT FX W/FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25670","description":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25670","description":"OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1 OR GT  BONES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21811","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.9923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.9923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":553.9539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":553.9539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":590.5947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":590.5947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21811","description":"OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":506.9923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":506.9923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":553.9539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":553.9539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":590.5947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":590.5947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23585","description":"OPEN TX SCAPULAR FX W/INTERNAL FIXATION IF PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28531","description":"OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23670","description":"OPEN TX SHOULDER DISLC W/HUMERAL TUBEROSITY FX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23680","description":"OPEN TX SHOULDER DISLOCATION W/NECK FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23530","description":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23530","description":"OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21825","description":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21825","description":"OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28465","description":"OPEN TX TARSAL FRACTURE XCP TALUS  AND  CALCANEUS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27535","description":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27535","description":"OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25685","description":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25685","description":"OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":636.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27823","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":636.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":636.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27822","description":"OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.236,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.825,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.825,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.574,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.574,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.901,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.901,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.574,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.901,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.217,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92018","description":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92019","description":"OPHTH XM and EVAL ANES W/WO MANJ GLOBE LMTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC MUCOUS MEMBRANE TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95060","description":"OPHTHALMIC MUCOUS MEMBRANE TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMIC MUCOUS MEMBRANE TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95060","description":"OPHTHALMIC MUCOUS MEMBRANE TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"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":[210414],"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":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"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":[210414],"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":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"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":[210414],"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":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPHTHALMODYNAMOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92260","description":"OPHTHALMODYNAMOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34834","description":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34834","description":"OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34812","description":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34812","description":"OPN FEM ART EXPOS DLVR EVASC PROSTH UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34833","description":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34833","description":"OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34820","description":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34820","description":"OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34830","description":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1057.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34830","description":"OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1057.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1057.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34832","description":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34832","description":"OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34831","description":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34831","description":"OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY HYPOTHENAR MUSC TR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26494","description":"OPPONENSPLASTY HYPOTHENAR MUSC TR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY HYPOTHENAR MUSC TR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26494","description":"OPPONENSPLASTY HYPOTHENAR MUSC TR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26496","description":"OPPONENSPLASTY OTHER METHODS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY OTHER METHODS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26496","description":"OPPONENSPLASTY OTHER METHODS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26490","description":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26490","description":"OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY TDN TR W/GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26492","description":"OPPONENSPLASTY TDN TR W/GRF EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":604.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPPONENSPLASTY TDN TR W/GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26492","description":"OPPONENSPLASTY TDN TR W/GRF EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":604.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":604.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33261","description":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":985.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33261","description":"OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":985.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":985.457,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.867,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92544","description":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92544","description":"OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23552","description":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23552","description":"OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27228","description":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1194.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1194.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27228","description":"OPTX ACTBLR FX INVG ANT and POST 2 COLUMNS FX W/INT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1194.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1194.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27227","description":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27227","description":"OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27846","description":"OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27848","description":"OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27217","description":"OPTX ANT PELVIC BONE FX and /DISLC INT FIXJ IF PFR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26686","description":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26686","description":"OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":408.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":408.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21470","description":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":749.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21470","description":"OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":749.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":749.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21436","description":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21436","description":"OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25608","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25608","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25609","description":"OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 Plus  FRAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25607","description":"OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25607","description":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25607","description":"OPTX DSTL RDL X-ARTIC FX/EPIPHYSL SEPARATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27236","description":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27236","description":"OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27506","description":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27506","description":"OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27507","description":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27507","description":"OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23630","description":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23630","description":"OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27254","description":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":815.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27254","description":"OPTX HIP DISLC TRAUMTC W/ACTBLR WALL and FEM HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":815.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27253","description":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27253","description":"OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24515","description":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24515","description":"OPTX HUMERAL SHFT FX PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24515","description":"OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":572.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24546","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24546","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FRACTURE W/XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24545","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24545","description":"OPTX HUMERAL SPRCNYLR/TRANSCNDYLR FX W/O XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27215","description":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27215","description":"OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21445","description":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21445","description":"OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21347","description":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21347","description":"OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21348","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21348","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21346","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21346","description":"OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG  and  FXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.027,"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":null,"billing_code":"21390","description":"OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.065,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.065,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.776,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27566","description":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27566","description":"OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27524","description":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27524","description":"OPTX PATLLR FX W/INT FIXJ/PATLLC and SOFT TISS RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE  and /DISLOCATION ELBO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE  and /DISLOCATION ELBO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24586","description":"OPTX PERIARTICULAR FRACTURE and /DISLOCATION ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24587","description":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24587","description":"OPTX PERIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHRP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27218","description":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27218","description":"OPTX POST PEL BONE FX and /DISLC INT FIXJ IF PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PRIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24587","description":"OPTX PRIARTICULAR FX and /DISLC ELBW W/IMPLT ARTHR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":701.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":701.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23615","description":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23615","description":"OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23616","description":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":792.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23616","description":"OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":792.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":792.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27226","description":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27226","description":"OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24666","description":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24666","description":"OPTX RADIAL HEAD/NECK FRACTURE PROSTHETIC RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25575","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25575","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25574","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25574","description":"OPTX RADIAL and ULNAR SHFT FX W/INT FIXJ RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":444.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":444.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25525","description":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25525","description":"OPTX RDL SHAFT FX and CLTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25526","description":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25526","description":"OPTX RDL SHAFT FX and OPTX DSTL RAD/ULN JT DISLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23670","description":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23670","description":"OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23680","description":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23680","description":"OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27178","description":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27178","description":"OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27181","description":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":722.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27181","description":"OPTX SLP FEM EPIPHYSIS OSTEOT AND INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":722.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27179","description":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":632.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27179","description":"OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":632.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27177","description":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27177","description":"OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27258","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":715.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27258","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":715.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":715.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27259","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":987.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27259","description":"OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":987.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":987.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23532","description":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23532","description":"OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":411.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27536","description":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":764.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27536","description":"OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":764.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27758","description":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27758","description":"OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22318","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1049.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22318","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT FIXJ W/O GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1049.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1049.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22319","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1162.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22319","description":"OPTX and /RDCTJ ODNTD FX and /DISLC ANT W/INT FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1162.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22326","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":963.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22326","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM CR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":963.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":963.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22328","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22328","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22325","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":948.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22325","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM LM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":948.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":948.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22327","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":984.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22327","description":"OPTX and /RDCTJ VRT FX and /DISLC PST 1 VRT SGM TH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":984.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":984.841,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4628","description":"ORAL AND/OR OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7028","description":"ORAL CUSHION COMB ORAL/NASAL MASK REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7044","description":"ORAL INTERFACE USED W/POS ARWAY PRESS DEVICE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4931","description":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4931","description":"ORAL THERMOMETER REUSABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95933","description":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95933","description":"ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1029.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.457,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1029.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1029.457,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1289.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.343,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1289.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61584","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1818.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1818.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61584","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1818.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1818.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61585","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2061.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2061.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61585","description":"ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2061.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2061.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61592","description":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1990.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1990.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61592","description":"ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1990.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1990.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACID 1 QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83921","description":"ORGANIC ACID 1 QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACID 1 QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83921","description":"ORGANIC ACID 1 QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83919","description":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83919","description":"ORGANIC ACIDS QUALITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83918","description":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83918","description":"ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0486","description":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1511.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0486","description":"ORL DEVC/APPL RDUC UP AIRWAY COLLAPSIBILITY CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1511.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1511.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OROPHARYNGEAL SUCTION CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4628","description":"OROPHARYNGEAL SUCTION CATHETER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOPANTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70355","description":"ORTHOPANTOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L2768","description":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L2768","description":"ORTHOTIC SIDE BAR DISCONNECT DEVICE PER BAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97760","description":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97760","description":"ORTHOTICS MGMT  AND  TRAING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97763","description":"ORTHOTICS/PROSTH MGMT  and /TRAING SBSQ ENCTR 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATING TRACKING TEST W/RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92545","description":"OSCILLATING TRACKING TEST W/RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATING TRACKING TEST W/RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92545","description":"OSCILLATING TRACKING TEST W/RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0484","description":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0484","description":"OSCILLATORY POS EXPIRATORY PRSS DEVC NON-ELEC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC INCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85557","description":"OSMOTIC FRAGILITY RBC INCUBATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC INCUBATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85557","description":"OSMOTIC FRAGILITY RBC INCUBATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC UNINCUBATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85555","description":"OSMOTIC FRAGILITY RBC UNINCUBATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSMOTIC FRAGILITY RBC UNINCUBATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85555","description":"OSMOTIC FRAGILITY RBC UNINCUBATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4422","description":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4422","description":"OST ABSORBNT MATL POUCH THICKEN LQD STOMAL OP EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4417","description":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4417","description":"OST POUCH CLO W/BARRIER ATTCH W/BUILT-IN CONVXIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4423","description":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4423","description":"OST POUCH CLOS; BARRIER W/LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4419","description":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4419","description":"OST POUCH CLOS; BARRIER W/NON-LOCK FLNGE W/FLTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5057","description":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5057","description":"OST POUCH DRAINABL EXT WEAR BARR CONVXTY FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5056","description":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5056","description":"OST POUCH DRAINABLE EXT WEAR BARRIER W/FILTER EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4388","description":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4388","description":"OST POUCH DRAINABLE W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.148,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4426","description":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4426","description":"OST POUCH DRAINABLE; USE BARRIER W/LOCK FLNGE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4425","description":"OST POUCH DRNABL; BARR NON-LOCK FLNGE W/FILTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4412","description":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4412","description":"OST POUCH DRNABLE BARRIER W/FLNGE W/O FLTR EA","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4413","description":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4413","description":"OST POUCH DRNABLE HI OP BARRIER W/FLNGE/FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4389","description":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4389","description":"OST POUCH DRNABLE W/BARR W/BUILT-IN CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4390","description":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4390","description":"OST POUCH DRNABLE W/EXT BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.319,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4427","description":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4427","description":"OST POUCH DRNABLE; BARRIER LOCK FLNGE W/FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4429","description":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4429","description":"OST POUCH URIN BLT-IN CONVXI W/FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4430","description":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4430","description":"OST POUCH URIN EXT BARR BLT-IN CNVX FAUCT VLV EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4428","description":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4428","description":"OST POUCH URIN EXT BARR W/FAUCET TAP W/VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4393","description":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4393","description":"OST POUCH URIN W/EXT WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4392","description":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4392","description":"OST POUCH URIN W/STD WEAR BARRIER W/CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4434","description":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4434","description":"OST POUCH URIN; BARR LOCK FLNG FAUCET TAP VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4433","description":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4433","description":"OST POUCH URIN; FOR BARR W/LOCKING FLANGE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4431","description":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4431","description":"OST POUCH URIN; W/BARR W/FAUCET TAP W/VALVE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4432","description":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4432","description":"OST POUCH URIN;BARR NON-LOCK FLNG FAUCT TAP VALV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4372","description":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4372","description":"OST SKIN BARR SOL 4X4/EQUV STD WEAR CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4410","description":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4410","description":"OST SKN BARR EXT W/O BUILT-IN CONVXITY GT 4X4 IN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4409","description":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4409","description":"OST SKN BARR EXT W/O BUILT-IN CONVXTY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4373","description":"OST SKN BARR W/FLNGE W/BUILT-IN CONVXITY SZ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4385","description":"OST SKN BARRIER SOLID 4X4 EXT W/O CONVXITY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4411","description":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4411","description":"OST SKN BARRIER SOLID 4X4/EQ W/BUILT-IN CONVXITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4408","description":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4408","description":"OST SKN BARRIER W/BUILT-IN CONVXITY  GT  4X4 IN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4407","description":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4407","description":"OST SKN BARRIER W/BUILT-IN CONVXITY 4X4 IN OR LT  EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4415","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4415","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY  GT 4X4 IN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4414","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4414","description":"OST SKN BARRIER W/O BUILT-IN CONVXITY 4X4 IN OR LT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.797,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":694.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28114","description":"OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":694.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":694.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28288","description":"OSTC PRTL EXOSTC/CONDYLC METAR HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28118","description":"OSTECTOMY CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28119","description":"OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28111","description":"OSTECTOMY COMPLETE 1ST METATARSAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28113","description":"OSTECTOMY COMPLETE 5TH METATARSAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28112","description":"OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY PRTL 5TH METAR HEAD SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28110","description":"OSTECTOMY PRTL 5TH METAR HEAD SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY SCAPULA PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23190","description":"OSTECTOMY SCAPULA PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY SCAPULA PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23190","description":"OSTECTOMY SCAPULA PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":378.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":378.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY STERNUM PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21620","description":"OSTECTOMY STERNUM PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY STERNUM PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21620","description":"OSTECTOMY STERNUM PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTECTOMY TARSAL COALITION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28116","description":"OSTECTOMY TARSAL COALITION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":440.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27415","description":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":883.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27415","description":"OSTEOCHONDRAL ALLOGRAFT KNEE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":883.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27416","description":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27416","description":"OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98925","description":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98925","description":"OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98926","description":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98926","description":"OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98927","description":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98927","description":"OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98928","description":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98928","description":"OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"98929","description":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"98929","description":"OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY CARPAL BONE SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25394","description":"OSTEOPLASTY CARPAL BONE SHORTENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY CARPAL BONE SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25394","description":"OSTEOPLASTY CARPAL BONE SHORTENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21208","description":"OSTEOPLASTY FACIAL BONES AUGMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1065.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES AUGMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21208","description":"OSTEOPLASTY FACIAL BONES AUGMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1065.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21209","description":"OSTEOPLASTY FACIAL BONES REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FACIAL BONES REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21209","description":"OSTEOPLASTY FACIAL BONES REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR LENGTHENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27466","description":"OSTEOPLASTY FEMUR LENGTHENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":762.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR LENGTHENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27466","description":"OSTEOPLASTY FEMUR LENGTHENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":762.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27465","description":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":800.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27465","description":"OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":800.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":800.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24420","description":"OSTEOPLASTY HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24420","description":"OSTEOPLASTY HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26568","description":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26568","description":"OSTEOPLASTY LENGTHENING METACARPAL/PHALANX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":605.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":605.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25392","description":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25392","description":"OSTEOPLASTY RADIUS  AND  ULNA SHORTENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25393","description":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":726.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25393","description":"OSTEOPLASTY RADIUS and ULNA LENGTHENING W/AUTOGRAF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":726.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25391","description":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25391","description":"OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25390","description":"OSTEOPLASTY RADIUS/ULNA SHORTENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY RADIUS/ULNA SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25390","description":"OSTEOPLASTY RADIUS/ULNA SHORTENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA  and  FIBULA LENGTHENING/SHORTENIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27715","description":"OSTEOPLASTY TIBIA  and  FIBULA LENGTHENING/SHORTENIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27715","description":"OSTEOPLASTY TIBIA and FIBULA LENGTHENING/SHORTENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":690.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":690.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27156","description":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1086.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27156","description":"OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1086.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27165","description":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":878.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27165","description":"OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":878.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27712","description":"OSTEOT MLT W/RELIGNMT IMED ROD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27454","description":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":830.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27454","description":"OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":830.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27457","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27457","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27455","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27455","description":"OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28312","description":"OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28310","description":"OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22216","description":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22216","description":"OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22226","description":"OSTEOT SPI W/DSKC ANT APPR 1 VRT SGM EA VRT SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28305","description":"OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28309","description":"OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28306","description":"OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28308","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28307","description":"OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27140","description":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27140","description":"OSTEOTOMY AND TRANSFER GREATER TROCHANTER SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28300","description":"OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23485","description":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23485","description":"OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23480","description":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23480","description":"OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27161","description":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27161","description":"OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27450","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27450","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27448","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27448","description":"OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27707","description":"OSTEOTOMY FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27707","description":"OSTEOTOMY FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24400","description":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24400","description":"OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27146","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27146","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27151","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27151","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27147","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":935.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27147","description":"OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":935.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":935.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21198","description":"OSTEOTOMY MANDIBLE SEGMENTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":648.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21198","description":"OSTEOTOMY MANDIBLE SEGMENTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":648.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21199","description":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21199","description":"OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":651.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":651.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MAXILLA SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21206","description":"OSTEOTOMY MAXILLA SEGMENTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MAXILLA SEGMENTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21206","description":"OSTEOTOMY MAXILLA SEGMENTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY METACARPAL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26565","description":"OSTEOTOMY METACARPAL EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY METACARPAL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26565","description":"OSTEOTOMY METACARPAL EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27712","description":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27712","description":"OSTEOTOMY MULTIPLE W/RELIGNMT INTRAMEDULLARY ROD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":711.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PELVIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27158","description":"OSTEOTOMY PELVIS BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":895.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PELVIS BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27158","description":"OSTEOTOMY PELVIS BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":895.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":895.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PHALANX FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26567","description":"OSTEOTOMY PHALANX FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY PHALANX FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26567","description":"OSTEOTOMY PHALANX FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25365","description":"OSTEOTOMY RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS  AND  ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25365","description":"OSTEOTOMY RADIUS  AND  ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS DISTAL THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25350","description":"OSTEOTOMY RADIUS DISTAL THIRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS DISTAL THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25350","description":"OSTEOTOMY RADIUS DISTAL THIRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25355","description":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25355","description":"OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":498.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":498.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22208","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22208","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":365.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":365.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22207","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1514.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22207","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1514.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.062,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22206","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1549.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1549.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22206","description":"OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1549.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1549.834,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22210","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1139.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22210","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1139.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1139.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22214","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":970.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22214","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":970.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22212","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":972.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22212","description":"OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":972.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":972.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22220","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1040.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22220","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1040.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22226","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22226","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22224","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1015.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22224","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1015.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22222","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1124.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22222","description":"OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1124.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22220","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1040.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22224","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1015.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1015.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22222","description":"OSTEOTOMY SPINE W/DSKC ANT APPR 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1124.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":466.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28302","description":"OSTEOTOMY TALUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":466.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28304","description":"OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27705","description":"OSTEOTOMY TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27705","description":"OSTEOTOMY TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27709","description":"OSTEOTOMY TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":732.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY TIBIA  AND  FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27709","description":"OSTEOTOMY TIBIA  AND  FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":732.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":732.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25360","description":"OSTEOTOMY ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTEOTOMY ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25360","description":"OSTEOTOMY ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0747","description":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4959.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4959.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6018.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6018.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0747","description":"OSTOGNS STIM ELEC NONINVASV OTH THAN SP APPLIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4959.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4959.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6018.661,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6018.661,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0760","description":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4094.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4094.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4968.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4968.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0760","description":"OSTOGNS STIM LOW INTENS ULTRASOUND NON-INVASV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4094.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4094.783,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4968.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4968.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0748","description":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4927.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4927.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5979.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5979.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0748","description":"OSTOGNS STIMULATOR ELEC NONINVASV SPINAL APPLIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4927.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4927.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5979.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5979.688,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY ACCESSORY; CONVEX INSERT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5093","description":"OSTOMY ACCESSORY; CONVEX INSERT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY ACCESSORY; CONVEX INSERT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5093","description":"OSTOMY ACCESSORY; CONVEX INSERT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.299,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.299,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY BELT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4367","description":"OSTOMY BELT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY BELT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4367","description":"OSTOMY BELT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4363","description":"OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4394","description":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4394","description":"OSTOMY DEODORANT W/WO LUBRICANT POUCH PER FL OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.047,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4361","description":"OSTOMY FACEPLATE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4361","description":"OSTOMY FACEPLATE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.648,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.648,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4384","description":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4384","description":"OSTOMY FACEPLATE EQUIVALENT SILICONE RING EACH","negotiated_rates":[{"provider_references":[210414],"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"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4400","description":"OSTOMY IRRIGATION SET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4400","description":"OSTOMY IRRIGATION SET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; BAG EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4398","description":"OSTOMY IRRIGATION SUPPLY; BAG EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4399","description":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4399","description":"OSTOMY IRRIGATION SUPPLY; CONE/CATH W/WO BRUSH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4418","description":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4418","description":"OSTOMY POUCH CLOS; W/O BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4416","description":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4416","description":"OSTOMY POUCH CLOSED W/BARRIER ATTCH W/FILTER EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.245,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5053","description":"OSTOMY POUCH CLOSED; FOR USE ON FACEPLATE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5054","description":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5054","description":"OSTOMY POUCH CLOSED; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.123,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5051","description":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5051","description":"OSTOMY POUCH CLOSED; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5052","description":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5052","description":"OSTOMY POUCH CLOSED; WITHOUT BARRIER ATTACHED EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4377","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4377","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE PLASTIC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4378","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4378","description":"OSTOMY POUCH DRAINABLE USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.223,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4424","description":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4424","description":"OSTOMY POUCH DRAINABLE W/BARRIER ATTCH W/FLTR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4376","description":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4376","description":"OSTOMY POUCH DRAINABLE W/FACEPLATE ATTCH RUBR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.067,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4375","description":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4375","description":"OSTOMY POUCH DRAINABLE W/FCEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5063","description":"OSTOMY POUCH DRAINABLE; USE BARRIER W/FLANGE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5062","description":"OSTOMY POUCH DRAINABLE; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4382","description":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4382","description":"OSTOMY POUCH URIN USE FACEPLATE HEAVY PLSTC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4381","description":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4381","description":"OSTOMY POUCH URINARY USE FACEPLATE PLASTIC EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4383","description":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4383","description":"OSTOMY POUCH URINARY USE FACEPLATE RUBBER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4391","description":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4391","description":"OSTOMY POUCH URINARY W/EXT WEAR BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4379","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4379","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH PLSTC EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4380","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4380","description":"OSTOMY POUCH URINARY W/FACEPLATE ATTCH RUBBER EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5073","description":"OSTOMY POUCH URINARY; USE BARRIER W/FLANGE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5071","description":"OSTOMY POUCH URINARY; WITH BARRIER ATTACHED EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5072","description":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5072","description":"OSTOMY POUCH URINARY; WITHOUT BARRIER ATTCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY RING EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4404","description":"OSTOMY RING EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY RING EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4404","description":"OSTOMY RING EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER LIQUID PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4369","description":"OSTOMY SKIN BARRIER LIQUID PER OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER LIQUID PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4369","description":"OSTOMY SKIN BARRIER LIQUID PER OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.431,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4405","description":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4405","description":"OSTOMY SKIN BARRIER NONPECTIN-BASED PASTE-OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.026,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.026,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4406","description":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4406","description":"OSTOMY SKIN BARRIER PECTIN-BASED PASTE PER OUNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER POWDER PER OZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4371","description":"OSTOMY SKIN BARRIER POWDER PER OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SKIN BARRIER POWDER PER OZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4371","description":"OSTOMY SKIN BARRIER POWDER PER OZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.246,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4421","description":"OSTOMY SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[210414],"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":"OSTOMY VENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4366","description":"OSTOMY VENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTOMY VENT ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4366","description":"OSTOMY VENT ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63295","description":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63295","description":"OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1300","description":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1604.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1604.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1300","description":"OTH SCOLIOSIS PROC BODY JACKET MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1604.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1604.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1310","description":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1797.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1797.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1310","description":"OTH SCOLIOSIS PROC POSTOPERATIVE BODY JACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1797.565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1797.565,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER ACCESSORIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0108","description":"OTHER ACCESSORIES","negotiated_rates":[{"provider_references":[210414],"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":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1289.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61345","description":"OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1289.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1289.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82042","description":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82042","description":"OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.842,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.842,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92502","description":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92502","description":"OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33478","description":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":968.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33478","description":"OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":968.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93798","description":"OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93797","description":"OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION  AND  ID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87177","description":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION  AND  ID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION  AND  ID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87177","description":"OVA AND PARASITES DIRECT SMEARS CONCENTRATION  AND  ID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVARIAN CYSTECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58925","description":"OVARIAN CYSTECTOMY UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVARIAN CYSTECTOMY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58925","description":"OVARIAN CYSTECTOMY UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVULATION TEST VISUAL COLOR COMPARISON HLH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84830","description":"OVULATION TEST VISUAL COLOR COMPARISON HLH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OVULATION TEST VISUAL COLOR COMPARISON HLH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84830","description":"OVULATION TEST VISUAL COLOR COMPARISON HLH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":960.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0445","description":"OXIMETER DEVICE MSR BLD O2 LEVLS NON-INVASV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":960.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":960.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN 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":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4606","description":"OXYGEN PROBE USE W/OXIMETER DEVICE REPLACEMENT","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy ring each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4404","description":"Ostomy ring each","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.776,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42200","description":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42200","description":"PALATOP CL PALATE SOFT and /HARD PALATE ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42210","description":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":691.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42210","description":"PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":691.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPHARYNGOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42145","description":"PALATOPHARYNGOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42215","description":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42215","description":"PALATOPLASTY CLEFT PALATE MAJOR REVJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.795,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42205","description":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42205","description":"PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81307","description":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":595.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81307","description":"PALB2 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":595.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48155","description":"PANCREATECTOMY TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48155","description":"PANCREATECTOMY TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1142.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48548","description":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1045.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48548","description":"PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1045.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATORRHAPHY INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48545","description":"PANCREATORRHAPHY INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":846.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PANCREATORRHAPHY INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48545","description":"PANCREATORRHAPHY INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":846.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAFFIN PER POUND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4265","description":"PARAFFIN PER POUND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60505","description":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":889.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60505","description":"PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":889.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":889.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60512","description":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60512","description":"PARATHYROID AUTOTRANSPLANTATION ADD-ON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78070","description":"PARATHYROID PLANAR IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROID PLANAR IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78070","description":"PARATHYROID PLANAR IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60502","description":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60502","description":"PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60500","description":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60500","description":"PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57423","description":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57423","description":"PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57284","description":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57284","description":"PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57285","description":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57285","description":"PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.989,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42507","description":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42507","description":"PAROTID DUCT DIVERSION BILATERAL WILKE PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42509","description":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42509","description":"PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42510","description":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42510","description":"PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5020","description":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2285.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2285.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5020","description":"PART FT MOLDED SOCKET TIB TUBERCLE HT W/TOE FIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2285.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2285.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5000","description":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5000","description":"PART FT SHOE INSERT W/LONGTUDNL ARCH TOE FILLER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.39,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PART HND F and THMB PROS AMP MCP NO INSRT DESC L6692","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6028","description":"PART HND F and THMB PROS AMP MCP NO INSRT DESC L6692","negotiated_rates":[{"provider_references":[210414],"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":"PARTIAL EXCISION BONE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23180","description":"PARTIAL EXCISION BONE CLAVICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23180","description":"PARTIAL EXCISION BONE CLAVICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27641","description":"PARTIAL EXCISION BONE FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27641","description":"PARTIAL EXCISION BONE FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24140","description":"PARTIAL EXCISION BONE HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24140","description":"PARTIAL EXCISION BONE HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26230","description":"PARTIAL EXCISION BONE METACARPAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26230","description":"PARTIAL EXCISION BONE METACARPAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24147","description":"PARTIAL EXCISION BONE OLECRANON PROCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24147","description":"PARTIAL EXCISION BONE OLECRANON PROCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23184","description":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23184","description":"PARTIAL EXCISION BONE PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24145","description":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24145","description":"PARTIAL EXCISION BONE RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25151","description":"PARTIAL EXCISION BONE RADIUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25151","description":"PARTIAL EXCISION BONE RADIUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23182","description":"PARTIAL EXCISION BONE SCAPULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23182","description":"PARTIAL EXCISION BONE SCAPULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28120","description":"PARTIAL EXCISION BONE TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27640","description":"PARTIAL EXCISION BONE TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27640","description":"PARTIAL EXCISION BONE TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25150","description":"PARTIAL EXCISION BONE ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION BONE ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25150","description":"PARTIAL EXCISION BONE ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DEEP PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27071","description":"PARTIAL EXCISION DEEP PELVIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DEEP PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27071","description":"PARTIAL EXCISION DEEP PELVIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26236","description":"PARTIAL EXCISION DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26236","description":"PARTIAL EXCISION DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26235","description":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26235","description":"PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION SUPERFICIAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27070","description":"PARTIAL EXCISION SUPERFICIAL PELVIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL EXCISION SUPERFICIAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27070","description":"PARTIAL EXCISION SUPERFICIAL PELVIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5010","description":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1232.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5010","description":"PARTIAL FT MOLDED SOCKET ANK HEIGHT W/TOE FILLER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1232.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1232.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND LITTLE  AND  OR RING FINGER REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6010","description":"PARTIAL HAND LITTLE  AND  OR RING FINGER REMAINING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1995.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1995.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND NO FINGER REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6020","description":"PARTIAL HAND NO FINGER REMAINING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1860.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HAND THUMB REMAINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6000","description":"PARTIAL HAND THUMB REMAINING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1793.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1793.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56700","description":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56700","description":"PARTIAL HYMENECTOMY OR REVISION HYMENAL RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31382","description":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1341.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1341.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31382","description":"PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1341.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1341.351,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31370","description":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1307.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31370","description":"PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1307.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31380","description":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1226.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31380","description":"PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1226.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31375","description":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1243.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31375","description":"PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1243.693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1243.693,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23130","description":"PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICAL EXCISION BONE PHALANX TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28124","description":"PARTICAL EXCISION BONE PHALANX TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86403","description":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86403","description":"PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86406","description":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86406","description":"PARTICLE AGGLUTINATION TITER EACH ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TEST SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95044","description":"PATCH/APPLICATION TEST SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95044","description":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95044","description":"PATCH/APPLICATION TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATELLECTOMY/HEMIPATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27350","description":"PATELLECTOMY/HEMIPATELLECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATELLECTOMY/HEMIPATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27350","description":"PATELLECTOMY/HEMIPATELLECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88331","description":"PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1ST SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88334","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM EACH ADDL SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88333","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88333","description":"PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.256,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88332","description":"PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.76,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80503","description":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80503","description":"PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CONSULTATION DURING SURGERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88329","description":"PATHOLOGY CONSULTATION DURING SURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.848,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATHOLOGY CONSULTATION DURING SURGERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88329","description":"PATHOLOGY CONSULTATION DURING SURGERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.848,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94016","description":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94016","description":"PATIENT-INITIATED SPIROMETRIC PHYS/QHP R and I ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94015","description":"PATIENT-INITIATED SPIROMETRIC RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PATIENT-INITIATED SPIROMETRIC RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94015","description":"PATIENT-INITIATED SPIROMETRIC RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.789,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.789,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.789,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.241,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":296.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":296.241,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.19,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.19,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96570","description":"PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4614","description":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4614","description":"PEAK EXPIRATORY FLOW RATE METER HAND HELD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.277,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL EXNTJ GYNECOLOGIC MAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58240","description":"PEL EXNTJ GYNECOLOGIC MAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1860.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL EXNTJ GYNECOLOGIC MAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58240","description":"PEL EXNTJ GYNECOLOGIC MAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1860.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1860.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38770","description":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38770","description":"PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR and OBTURATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":510.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC BELT/HARNESS/BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0944","description":"PELVIC BELT/HARNESS/BOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC BELT/HARNESS/BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0944","description":"PELVIC BELT/HARNESS/BOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57410","description":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57410","description":"PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45126","description":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1708.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45126","description":"PELVIC EXENTERATION COLORECTAL MALIGNANCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1708.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COMPLETE MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51597","description":"PELVIC EXENTERATION COMPLETE MALIGNANCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1440.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1440.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC EXENTERATION COMPLETE MALIGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51597","description":"PELVIC EXENTERATION COMPLETE MALIGNANCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1440.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1440.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC FIXATION OTHER THAN SACRUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22848","description":"PELVIC FIXATION OTHER THAN SACRUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PELVIC FIXATION OTHER THAN SACRUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22848","description":"PELVIC FIXATION OTHER THAN SACRUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37788","description":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37788","description":"PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":794.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":794.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE VENOUS OCCLUSIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37790","description":"PENILE VENOUS OCCLUSIVE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENILE VENOUS OCCLUSIVE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37790","description":"PENILE VENOUS OCCLUSIVE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":309.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":309.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94642","description":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.269,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94642","description":"PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.269,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2545","description":"PENTAMIDINE ISETHIONATE I SOL NONCP UD P 300 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0480","description":"PERCUSSOR ELECTRIC OR PNEUMATIC HOME MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5200","description":"PERCUT CATH/TUBE ANCHR DEVICE ADHES SKIN ATTCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62268","description":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62268","description":"PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74355","description":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74355","description":"PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.923,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MALAR AREA FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21355","description":"PERCUTANEOUS TX MALAR AREA FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MALAR AREA FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21355","description":"PERCUTANEOUS TX MALAR AREA FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21452","description":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21452","description":"PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21340","description":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21340","description":"PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":485.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":485.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57289","description":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57289","description":"PEREYRA PX W/ANTERIOR COLPORRHAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19371","description":"PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93287","description":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93287","description":"PERI-PX DEV EVAL  and  PROG SING/DUAL/MULTI LEAD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93286","description":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93286","description":"PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33020","description":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33020","description":"PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74775","description":"PERINEOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56810","description":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56810","description":"PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99397","description":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS AND  OLDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT  LT 1Y","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.222,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21260","description":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":879.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21260","description":"PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":879.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21261","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1552.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21261","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA  and  XTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1552.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21263","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1436.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21263","description":"PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1436.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80417","description":"PERIPHERAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPHERAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80417","description":"PERIPHERAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIPROSTHETIC CAPSULECTOMY BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19371","description":"PERIPROSTHETIC CAPSULECTOMY BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45520","description":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45520","description":"PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERISTOMAL HERNIA SUPPORT BELT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4396","description":"PERISTOMAL HERNIA SUPPORT BELT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERISTOMAL HERNIA SUPPORT BELT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4396","description":"PERISTOMAL HERNIA SUPPORT BELT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49084","description":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49084","description":"PERITONEAL LAVAGE W/WO IMAGING GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL-VENOUS SHUNT PATENCY TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78291","description":"PERITONEAL-VENOUS SHUNT PATENCY TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEAL-VENOUS SHUNT PATENCY TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78291","description":"PERITONEAL-VENOUS SHUNT PATENCY TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":158.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74190","description":"PERITONEOGRAM RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.839,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERITONEOGRAM RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74190","description":"PERITONEOGRAM RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.839,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0980","description":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0980","description":"PERONEAL STRAPS PREFABRICATED OFF THE SHELF PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19283","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19283","description":"PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.156,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50081","description":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50081","description":"PERQ NL/PL LITHOTRP COMPLEX  GT 2 CM MLT LOCATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50080","description":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50080","description":"PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.046,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10035","description":"PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25606","description":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25606","description":"PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24582","description":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24582","description":"PERQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24566","description":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24566","description":"PERQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24538","description":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24538","description":"PERQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28476","description":"PERQ SKELETAL FIXATION METATARSAL FX W/MNPJ EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27216","description":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27216","description":"PERQ SKELETAL FIXATION PST PELVIC BONE FX and /DIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28436","description":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28436","description":"PERQ SKELETAL FIXATION TALUS FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25651","description":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25651","description":"PERQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28406","description":"PERQ SKELETAL FIXJ CALCANEAL FRACTURE W/MNPJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25671","description":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25671","description":"PERQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92973","description":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92973","description":"PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSAR RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4561","description":"PESSAR RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4562","description":"PESSARY NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE NON RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4562","description":"PESSARY REUSABLE NON RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4561","description":"PESSARY REUSABLE RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PESSARY REUSABLE RUBBER ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4561","description":"PESSARY REUSABLE RUBBER ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78815","description":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1073.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78815","description":"PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1073.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1073.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78814","description":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1065.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78814","description":"PET IMAGING CT FOR ATTENUATION LIMITED AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1065.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1065.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78816","description":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1074.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78816","description":"PET IMAGING FOR CT ATTENUATION WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1074.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.062,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78811","description":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":896.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":941.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78811","description":"PET IMAGING LIMITED AREA CHEST HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":896.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":896.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":941.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":941.512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING SKULL BASE TO MID-THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78812","description":"PET IMAGING SKULL BASE TO MID-THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1058.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING SKULL BASE TO MID-THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78812","description":"PET IMAGING SKULL BASE TO MID-THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1058.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1058.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78813","description":"PET IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1059.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PET IMAGING WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78813","description":"PET IMAGING WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1002.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1002.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1059.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69530","description":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1084.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69530","description":"PETROUS APICECTOMY RADICAL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1084.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1084.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83986","description":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83986","description":"PH BODY FLUID NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PH EXHALED BREATH CONDENSATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"83987","description":"PH EXHALED BREATH CONDENSATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PH EXHALED BREATH CONDENSATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"83987","description":"PH EXHALED BREATH CONDENSATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHALANGECTOMY TOE EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28150","description":"PHALANGECTOMY TOE EACH TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":271.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":271.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOESOPHAGEAL REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42953","description":"PHARYNGOESOPHAGEAL REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOESOPHAGEAL REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42953","description":"PHARYNGOESOPHAGEAL REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31390","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1779.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31390","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1779.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1779.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31395","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1866.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1866.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31395","description":"PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1866.667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1866.667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42950","description":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42950","description":"PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42955","description":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42955","description":"PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99195","description":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99195","description":"PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHATIDYLGLYCEROL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84081","description":"PHOSPHATIDYLGLYCEROL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHATIDYLGLYCEROL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84081","description":"PHOSPHATIDYLGLYCEROL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOGLUCONATE 6-DEHYD RBC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84085","description":"PHOSPHOGLUCONATE 6-DEHYD RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOGLUCONATE 6-DEHYD RBC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84085","description":"PHOSPHOGLUCONATE 6-DEHYD RBC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION PLATELET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85597","description":"PHOSPHOLIPID NEUTRALIZATION PLATELET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOSPHOLIPID NEUTRALIZATION PLATELET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85597","description":"PHOSPHOLIPID NEUTRALIZATION PLATELET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TEST SPECIFY NUMBER TSTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95052","description":"PHOTO PATCH TEST SPECIFY NUMBER TSTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95052","description":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95052","description":"PHOTO PATCH TESTS SPECIFY NUMBER TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO TESTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95056","description":"PHOTO TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTO TESTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95056","description":"PHOTO TESTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96913","description":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96913","description":"PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS AND ULTRAVIOLET PUVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS AND ULTRAVIOLET PUVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96912","description":"PHOTOCHEMOTX PSORALENS and ULTRAVIOLET A PUVA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96910","description":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96910","description":"PHOTOCHEMOTX TAR and UVB/PETROLATUM/UVB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOPHERESIS EXTRACORPOREAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36522","description":"PHOTOPHERESIS EXTRACORPOREAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":877.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOPHERESIS EXTRACORPOREAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36522","description":"PHOTOPHERESIS EXTRACORPOREAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":877.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":877.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0202","description":"PHOTOTHERAPY LIGHT WITH PHOTOMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99183","description":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99183","description":"PHYS/QHP ATTN and SUPVJ HYPRBARIC OXYGEN TX/SESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.209,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93798","description":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93798","description":"PHYS/QHP O/P CARDIAC RHAB W/CONT ECG MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93797","description":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93797","description":"PHYS/QHP O/P CARDIAC RHAB W/O CONT ECG MONITOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96004","description":"PHYS/QHP R and I CPTR MTN ALYS WALK/FUNCJL ACTV REPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97750","description":"PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"01990","description":"PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOLOGIC EXERCISE STUDY  AND  HEMODYNAMIC MEASU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93464","description":"PHYSIOLOGIC EXERCISE STUDY  AND  HEMODYNAMIC MEASU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PHYSIOLOGIC EXERCISE STUDY  AND  HEMODYNAMIC MEASU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93464","description":"PHYSIOLOGIC EXERCISE STUDY  AND  HEMODYNAMIC MEASU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7033","description":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7033","description":"PILLW NASL CANNULA TYPE INTERFCE REPL ONLY PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AR UP TO 2 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15050","description":"PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINWORM EXAMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87172","description":"PINWORM EXAMINATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PINWORM EXAMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87172","description":"PINWORM EXAMINATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1170.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1170.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1335.1676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1335.1676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1551.4384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1551.4384,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1170.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1170.3675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1335.1676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1335.1676,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1551.4384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1551.4384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"65779","description":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1050.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1050.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1193.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1193.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1381.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1381.5948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"65779","description":"PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1050.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1050.1243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1193.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1193.1469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1381.5948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1381.5948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48000","description":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1175.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48000","description":"PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1175.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1175.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48001","description":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1435.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48001","description":"PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1435.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.929,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CHOLEDOCHAL STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47801","description":"PLACEMENT CHOLEDOCHAL STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT CHOLEDOCHAL STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47801","description":"PLACEMENT CHOLEDOCHAL STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44300","description":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44300","description":"PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49412","description":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49412","description":"PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41019","description":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":408.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":408.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":435.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":435.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":465.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":465.8758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41019","description":"PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":408.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":408.5932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":435.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":435.4475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":465.8758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":465.8758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36680","description":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36680","description":"PLACEMENT NEEDLE INTRAOSSEOUS INFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55920","description":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":375.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":375.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":401.6124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":401.6124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.8048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55920","description":"PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":375.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":375.1923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":401.6124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":401.6124,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":430.8048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":430.8048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20555","description":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":273.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":273.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":292.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":292.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20555","description":"PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":261.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":261.8631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":273.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":273.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":292.3915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":292.3915,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46020","description":"PLACEMENT SETON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLACEMENT SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46020","description":"PLACEMENT SETON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78111","description":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78111","description":"PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78110","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78110","description":"PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR INTROITUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56800","description":"PLASTIC REPAIR INTROITUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR INTROITUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56800","description":"PLASTIC REPAIR INTROITUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR URETHROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57230","description":"PLASTIC REPAIR URETHROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC REPAIR URETHROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57230","description":"PLASTIC REPAIR URETHROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57220","description":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57220","description":"PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":223.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET AGGREGATION IN VITRO EACH AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85576","description":"PLATELET AGGREGATION IN VITRO EACH AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET AGGREGATION IN VITRO EACH AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85576","description":"PLATELET AGGREGATION IN VITRO EACH AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78191","description":"PLATELET SURVIVAL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATELET SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78191","description":"PLATELET SURVIVAL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0153","description":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0153","description":"PLATFORM ATTACHMENT FOREARM CRUTCH EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.916,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.916,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0154","description":"PLATFORM ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORM ATTACHMENT WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0154","description":"PLATFORM ATTACHMENT WALKER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.61,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4255","description":"PLATFORMS HOME BLOOD GLUCOSE MONITOR 50 PER BOX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33982","description":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1623.8516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1623.8516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1762.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1762.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1871.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1871.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33982","description":"PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1623.8516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1623.8516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1762.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1762.0311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1871.085,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1871.085,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES  and  AIRWAY RESISTANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94726","description":"PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32215","description":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32215","description":"PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32310","description":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32310","description":"PLEURECTOMY PARIETAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33886","description":"PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":578.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":578.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19297","description":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19297","description":"PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19296","description":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2310.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2310.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19296","description":"PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2310.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2310.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34813","description":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34813","description":"PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32553","description":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32553","description":"PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33883","description":"PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19298","description":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19298","description":"PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10035","description":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10035","description":"PLMT SFT TISS LOCLZJ DEV PERQ 1ST LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35685","description":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35685","description":"PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.019,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40702","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40702","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40701","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":764.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40701","description":"PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":764.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":764.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40700","description":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40700","description":"PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40720","description":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40720","description":"PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT  and  RECL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40761","description":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":692.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40761","description":"PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":692.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":692.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42500","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42500","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42505","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42505","description":"PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.407,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81319","description":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81319","description":"PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81317","description":"PMS2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":595.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PMS2 GENE ANALYSIS FULL SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81317","description":"PMS2 GENE ANALYSIS FULL SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":595.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48146","description":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1181.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48146","description":"PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1181.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1181.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48140","description":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":982.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48140","description":"PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":982.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48145","description":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48145","description":"PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1022.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1022.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48154","description":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1805.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1805.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48154","description":"PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1805.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1805.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48150","description":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1945.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1945.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48150","description":"PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1945.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1945.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48153","description":"PNCRTECT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1932.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1932.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT W/PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48153","description":"PNCRTECT W/PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1932.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1932.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48152","description":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1797.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1797.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48152","description":"PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1797.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1797.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0650","description":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1106.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0650","description":"PNEUMATIC COMPRESSOR NONSEGMENTAL HOME MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1106.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1106.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4370","description":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4370","description":"PNEUMATIC FULL LEG SPLINT PREFAB OFF THE SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.14,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.14,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":760.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32940","description":"PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":760.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32200","description":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":709.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32200","description":"PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":709.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32960","description":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32960","description":"PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.378,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2624","description":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2624","description":"POLISHING/RESURFACING OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.159,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLLICIZATION DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26550","description":"POLLICIZATION DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1059.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLLICIZATION DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26550","description":"POLLICIZATION DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1059.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1059.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95782","description":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95782","description":"POLYSOM  LT 6 YRS SLEEP STAGE 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95783","description":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95783","description":"POLYSOM  LT 6 YRS SLEEP W/CPAP/BILVL VENT 4 OR GT  PARAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":603.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95810","description":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95810","description":"POLYSOM 6 OR GT YRS SLEEP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":416.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95811","description":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95811","description":"POLYSOM 6 OR GT YRS SLEEP W/CPAP 4 OR GT  ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95808","description":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95808","description":"POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHOBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84106","description":"PORPHOBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHOBILINOGEN URINE QUALITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84106","description":"PORPHOBILINOGEN URINE QUALITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84126","description":"PORPHYRINS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS FECES QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84126","description":"PORPHYRINS FECES QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUALITATAIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84119","description":"PORPHYRINS URINE QUALITATAIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUALITATAIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84119","description":"PORPHYRINS URINE QUALITATAIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUANTITATION  AND  FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84120","description":"PORPHYRINS URINE QUANTITATION  AND  FRACTIONATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORPHYRINS URINE QUANTITATION  AND  FRACTIONATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84120","description":"PORPHYRINS URINE QUANTITATION  AND  FRACTIONATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47701","description":"PORTOENETEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1086.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PORTOENETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47701","description":"PORTOENETEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1086.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1086.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92542","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92532","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONAL NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92542","description":"POSITIONAL NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0190","description":"POSITIONING CUSH/PILLOW/WEDGE INCL ALL COMPONENT","negotiated_rates":[{"provider_references":[210414],"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":"POSITIONING SEAT PERSON SPECIAL/ORTHOPEDIC NEED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"T5001","description":"POSITIONING SEAT PERSON SPECIAL/ORTHOPEDIC NEED","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.237,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1162.348,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1162.348,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57250","description":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57250","description":"POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64566","description":"POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22840","description":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22840","description":"POSTERIOR NON-SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22844","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22844","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 13 OR GT  VRT SE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22842","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22842","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22843","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22843","description":"POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99024","description":"POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59430","description":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59430","description":"POSTPARTUM CARE ONLY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84132","description":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84132","description":"POTASSIUM SERUM PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84133","description":"POTASSIUM URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POTASSIUM URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84133","description":"POTASSIUM URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0812","description":"POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[210414],"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":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2376.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2376.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2312","description":"POWER WC ACCESS HAND OR CHIN CONTROL INTERFACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2376.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2376.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2313","description":"POWER WC ACCESS HARNESS UPGRADE EXP CONTROLLR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2340","description":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2340","description":"POWER WC ACCESS NONSTAND SEAT FRAME WD 20-23 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2371","description":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2371","description":"POWER WC ACSS GRP 27 SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2369","description":"POWER WC CMPNNT DRIVE WHEEL GEAR BOX REPL ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.907,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2368","description":"POWER WHEELCHAIR CMPNT MOTOR REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2378","description":"POWER WHEELCHAIR COMPONENT ACTUATOR REPLACE ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":602.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":602.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHEELCHAIR NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0898","description":"POWER WHEELCHAIR NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[210414],"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":"POWER WHEELCHAIR PEDIATRIC SIZE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1239","description":"POWER WHEELCHAIR PEDIATRIC SIZE NOS","negotiated_rates":[{"provider_references":[210414],"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":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2324","description":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2324","description":"POWER WHLCHAIR ACSS CHIN CUP CHIN CNTRL INTERFCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.817,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.817,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45112","description":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1136.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45112","description":"PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1136.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45119","description":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1177.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45119","description":"PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1177.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45110","description":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45110","description":"PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45120","description":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1004.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45120","description":"PRCTECT COMPL W/PULL-THRU PX  and  ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1004.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45121","description":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1094.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45121","description":"PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1094.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1094.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45111","description":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45111","description":"PRCTECT PRTL RESCJ RECTUM TABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45114","description":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1135.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45114","description":"PRCTECT PRTL W/ANAST ABDL  and  TRANSSAC APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1135.75,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1135.75,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45116","description":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":970.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45116","description":"PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":970.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45113","description":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1169.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45113","description":"PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1169.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1169.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/O ANAST PRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45123","description":"PRCTECT PRTL W/O ANAST PRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRCTECT PRTL W/O ANAST PRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45123","description":"PRCTECT PRTL W/O ANAST PRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREALBUMIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84134","description":"PREALBUMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREALBUMIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84134","description":"PREALBUMIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84163","description":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84163","description":"PREGNANCY-ASSOCIATED PLASMA PROTEIN-A","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANEDIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84135","description":"PREGNANEDIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANEDIOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84135","description":"PREGNANEDIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.722,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANETRIOL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84138","description":"PREGNANETRIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNANETRIOL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84138","description":"PREGNANETRIOL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.524,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84140","description":"PREGNENOLONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREGNENOLONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84140","description":"PREGNENOLONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHENSILE ACTUATOR SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7040","description":"PREHENSILE ACTUATOR SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3048.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3048.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREHENSILE ACTUATOR SWITCH CONTROLLED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7040","description":"PREHENSILE ACTUATOR SWITCH CONTROLLED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3048.551,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3048.551,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5580","description":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2636.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2636.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5580","description":"PREP AK DISARTIC NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2636.051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2636.051,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5585","description":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2921.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2921.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5585","description":"PREP AK-DISARTC NON-ALIGN PRFAB ADJ OPN END SCKT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2921.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2921.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5590","description":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2557.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2557.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5590","description":"PREP AK-DISARTIC NON-ALIGN LAMINATED SOCKET MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2557.764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2557.764,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5560","description":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2187.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2187.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5560","description":"PREP AK-DISRTC ISCH LEVL PLASTER SOCKET MOLD MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2187.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2187.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5570","description":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2301.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2301.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5570","description":"PREP AK-DISRTC ISCH LEVL THERMOPLSTC/ Equal to DIR FORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2301.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2301.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5535","description":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2098.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5535","description":"PREP BELOW KNEE PTB NON-ALIGN PRFAB ADJ OPEN END","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2098.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2098.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5510","description":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1596.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5510","description":"PREP BELOW KNEE PTB SOCKET NON-ALIGN MOLD MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1596.683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.683,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5540","description":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2239.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5540","description":"PREP BK PTB SCKT NON-ALIGN LAMNATD SCKT MOLD MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2239.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2239.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5520","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1455.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1455.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5520","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to DIR FORM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1455.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1455.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5530","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2031.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2031.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5530","description":"PREP BK PTB SCKT NON-ALIGN THERMOPLSTC/ Equal to MOLD MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2031.161,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2031.161,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6584","description":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2461.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2461.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6584","description":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2461.657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2461.657,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6586","description":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2103.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2103.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6586","description":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2103.849,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2103.849,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5600","description":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5758.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5758.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5600","description":"PREP HIP DISARTIC-HEMIPELVECT LAMINATD SCKT MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5758.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5758.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5595","description":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4568.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4568.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5595","description":"PREP HIP DISARTIC-HEMIPELVECT THERMOPLSTC/ Equal to MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4568.949,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4568.949,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90889","description":"PREP REPORT PT PSYCH STATUS AGENCY/PAYER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6588","description":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3562.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3562.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6588","description":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3562.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3562.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6590","description":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3282.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3282.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6590","description":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3282.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3282.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15004","description":"PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15005","description":"PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15002","description":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15002","description":"PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15003","description":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[210414],"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":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15003","description":"PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT","negotiated_rates":[{"provider_references":[210414],"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":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6580","description":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1823.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1823.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6580","description":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1823.195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1823.195,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6582","description":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1448.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6582","description":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1448.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1448.832,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19396","description":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19396","description":"PREPARATION MOULAGE CUSTOM BREAST IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":251.1748,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":316.0393,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44705","description":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44705","description":"PREPARE FECAL MICROBIOTA FOR INSTILLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95145","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95145","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95146","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95146","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95147","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95147","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95148","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95148","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95149","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95149","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95170","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95170","description":"PREPJ AND  ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95144","description":"PREPJ AND  ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ AND  ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95144","description":"PREPJ AND  ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95165","description":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95165","description":"PREPJ and  ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"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":[210414],"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":"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":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J8499","description":"PRESCRIPTION DRUG ORAL NONCHEMOTHERAPEUTIC NOS","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94640","description":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94640","description":"PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99401","description":"PREV MED CNSL and /RSK FCTR RDCTJ INDV APPROX 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99401","description":"PREVENT MED COUNSEL and /RISK FACTOR REDJ SPX 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93279","description":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93279","description":"PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93260","description":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93260","description":"PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93285","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93285","description":"PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93284","description":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93284","description":"PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93283","description":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93283","description":"PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93282","description":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93282","description":"PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33031","description":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1508.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1508.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33031","description":"PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1508.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1508.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33030","description":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1223.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33030","description":"PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1223.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1223.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37184","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1072.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37184","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1072.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1072.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37185","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37185","description":"PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCALCITONIN (PCT)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84145","description":"PROCALCITONIN (PCT)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCALCITONIN (PCT)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84145","description":"PROCALCITONIN (PCT)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45540","description":"PROCTOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45540","description":"PROCTOPEXY ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":662.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":662.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45541","description":"PROCTOPEXY PERINEAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY PERINEAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45541","description":"PROCTOPEXY PERINEAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45550","description":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":914.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45550","description":"PROCTOPEXY W/SIGMOID RESCJ ABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":914.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45505","description":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45505","description":"PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45500","description":"PROCTOPLASTY STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOPLASTY STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45500","description":"PROCTOPLASTY STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45300","description":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45300","description":"PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45320","description":"PROCTOSGMDSC RIGID ABLATION LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID ABLATION LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45320","description":"PROCTOSGMDSC RIGID ABLATION LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45317","description":"PROCTOSGMDSC RIGID CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45317","description":"PROCTOSGMDSC RIGID CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45321","description":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45321","description":"PROCTOSGMDSC RIGID DCMPRN VOLVULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45308","description":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45308","description":"PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45309","description":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45309","description":"PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45315","description":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45315","description":"PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45327","description":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45327","description":"PROCTOSGMDSC RIGID TNDSC STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45305","description":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45305","description":"PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/DILATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45303","description":"PROCTOSGMDSC RIGID W/DILATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/DILATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45303","description":"PROCTOSGMDSC RIGID W/DILATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45307","description":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45307","description":"PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":137.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":137.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95115","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95115","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95117","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95117","description":"PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93280","description":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93280","description":"PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93281","description":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93281","description":"PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  AND  PACG AFTER IV DRUG NFS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93623","description":"PROGRAMMED STIMJ  AND  PACG AFTER IV DRUG NFS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93623","description":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93623","description":"PROGRAMMED STIMJ  and  PACG AFTER IV DRUG INFUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.308,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99418","description":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99418","description":"PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25490","description":"PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD and UL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25492","description":"PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD and UL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27495","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":726.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27495","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":726.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27745","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27745","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25491","description":"PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27187","description":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27187","description":"PROPH TX N/P/PLTWR W/WO MMA FEM NCK  and  PROX FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23490","description":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23490","description":"PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24498","description":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24498","description":"PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":559.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":559.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23491","description":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23491","description":"PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25490","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25490","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25492","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25492","description":"PROPH TX W/WO METHYLMETHACRYLATE RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25491","description":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25491","description":"PROPH TX W/WO METHYLMETHACRYLATE ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8417","description":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8417","description":"PROSTH SHEATH/SOCK W/GEL CUSHION LAY BK/AK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24160","description":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":806.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24160","description":"PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":806.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":806.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24164","description":"PROSTHESIS REMOVAL RADIAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHESIS REMOVAL RADIAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24164","description":"PROSTHESIS REMOVAL RADIAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":472.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":472.472,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE OTHER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2629","description":"PROSTHETIC EYE OTHER TYPE","negotiated_rates":[{"provider_references":[210414],"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":"PROSTHETIC EYE PLASTIC CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2623","description":"PROSTHETIC EYE PLASTIC CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1088.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC EYE PLASTIC CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2623","description":"PROSTHETIC EYE PLASTIC CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1088.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1088.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH ABOVE KNEE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8410","description":"PROSTHETIC SHEATH ABOVE KNEE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH ABOVE KNEE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8410","description":"PROSTHETIC SHEATH ABOVE KNEE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.774,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH BELOW KNEE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8400","description":"PROSTHETIC SHEATH BELOW KNEE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH BELOW KNEE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8400","description":"PROSTHETIC SHEATH BELOW KNEE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8415","description":"PROSTHETIC SHEATH UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8415","description":"PROSTHETIC SHEATH UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8460","description":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8460","description":"PROSTHETIC SHRINKER ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.33,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8440","description":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8440","description":"PROSTHETIC SHRINKER BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.328,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8465","description":"PROSTHETIC SHRINKER UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHRINKER UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8465","description":"PROSTHETIC SHRINKER UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.368,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8430","description":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8430","description":"PROSTHETIC SOCK MULTIPLE PLY ABOVE KNEE AK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.199,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.199,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8420","description":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8420","description":"PROSTHETIC SOCK MULTIPLE PLY BELOW KNEE BK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8435","description":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8435","description":"PROSTHETIC SOCK MULTIPLE PLY UPPER LIMB EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8480","description":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8480","description":"PROSTHETIC SOCK SINGLE PLY FITTING ABOVE KNEE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8470","description":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8470","description":"PROSTHETIC SOCK SINGLE PLY FITTING BELOW KNEE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8485","description":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8485","description":"PROSTHETIC SOCK SINGLE PLY FITTING UPPER LIMB EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.553,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.553,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97761","description":"PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTAMINE SULFATE FOR HEMODIALYSIS PER 50 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4802","description":"PROTAMINE SULFATE FOR HEMODIALYSIS PER 50 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0984","description":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0984","description":"PROTECTIVE BODY SOCK PREFAB OFF SHELF EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88372","description":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88372","description":"PROTEIN ALYS WSTRN BLOT I AND R IMMUNOLOGICAL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88371","description":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","negotiated_rates":[{"provider_references":[210414],"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":14.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88371","description":"PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP and REPO","negotiated_rates":[{"provider_references":[210414],"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":14.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.558,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.672,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84166","description":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84166","description":"PROTEIN ELECTROP FXJ AND QUAN OTH FLUS CONCENTRATI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84165","description":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84165","description":"PROTEIN ELECTROPHORETIC FRACTJ AND QUANTJ SERUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84160","description":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84160","description":"PROTEIN TOTAL REFRACTOMETRY ANY SRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84157","description":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84157","description":"PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84156","description":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84156","description":"PROTEIN TOTAL XCPT REFRACTOMETRY URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84182","description":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84182","description":"PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84181","description":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84181","description":"PROTEIN WESTRN BLOT I and R BLOOD/OTHER FLUID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84155","description":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84155","description":"PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85610","description":"PROTHROMBIN TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85610","description":"PROTHROMBIN TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85611","description":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","negotiated_rates":[{"provider_references":[210414],"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":3.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85611","description":"PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH","negotiated_rates":[{"provider_references":[210414],"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":3.465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77525","description":"PROTON TX DELIVERY COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":812.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77525","description":"PROTON TX DELIVERY COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":812.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77522","description":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77522","description":"PROTON TX DELIVERY SIMPLE W/COMPENSATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77520","description":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77520","description":"PROTON TX DELIVERY SIMPLE W/O COMPENSATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84202","description":"PROTOPORPHYRIN RBC QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84202","description":"PROTOPORPHYRIN RBC QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.184,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC SCREEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84203","description":"PROTOPORPHYRIN RBC SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PROTOPORPHYRIN RBC SCREEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84203","description":"PROTOPORPHYRIN RBC SCREEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.569,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.569,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62267","description":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62267","description":"PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92986","description":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":813.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92986","description":"PRQ BALLOON VALVULOPLASTY AORTIC VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":813.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":813.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92987","description":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92987","description":"PRQ BALLOON VALVULOPLASTY MITRAL VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92990","description":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":672.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92990","description":"PRQ BALLOON VALVULOPLASTY PULMONARY VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":672.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64561","description":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64561","description":"PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64553","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2482.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2482.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64553","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2482.865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2482.865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64555","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1366.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64555","description":"PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1366.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1366.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63650","description":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1459.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1459.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63650","description":"PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1459.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1459.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62263","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62263","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2 OR GT  DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62264","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62264","description":"PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  GT  2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50081","description":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  GT  2 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":708.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":708.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50080","description":"PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY  LT 2 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36481","description":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1096.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36481","description":"PRQ PORTAL VEIN CATHETERIZATION ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1096.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1096.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26676","description":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26676","description":"PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":340.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":340.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26756","description":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26756","description":"PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27235","description":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27235","description":"PRQ SKEL FIXJ FEMORAL FX PROX END NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28496","description":"PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24582","description":"PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24566","description":"PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28666","description":"PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26776","description":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26776","description":"PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":301.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":301.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26706","description":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26706","description":"PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":299.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METAR FX W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28476","description":"PRQ SKEL FIXJ METAR FX W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28636","description":"PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26727","description":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26727","description":"PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24538","description":"PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28576","description":"PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28606","description":"PRQ SKEL FIXJ TARS JT DISLC W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28546","description":"PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCN W/MNPJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28456","description":"PRQ SKEL FIXJ TARSL FX XCP TALUS and CALCNS W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26650","description":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26650","description":"PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28436","description":"PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27756","description":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27756","description":"PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25651","description":"PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":326.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28406","description":"PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25671","description":"PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27509","description":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27509","description":"PRQ SKELETAL FIXJ FEMORAL FX DISTAL END","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26608","description":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26608","description":"PRQ SKELETAL FIXJ METACARPAL FX EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93580","description":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93580","description":"PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93581","description":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93581","description":"PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74363","description":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74363","description":"PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75885","description":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75885","description":"PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75887","description":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75887","description":"PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92973","description":"PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37187","description":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1055.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37187","description":"PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1055.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1055.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37188","description":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":908.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37188","description":"PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":908.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92997","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92997","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92998","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92998","description":"PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43118","description":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43118","description":"PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2203.861,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43121","description":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1748.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1748.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43121","description":"PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1748.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1748.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43116","description":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3014.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3014.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43116","description":"PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3014.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3014.352,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43117","description":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2001.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2001.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43117","description":"PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2001.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2001.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43122","description":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1596.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43122","description":"PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1596.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1596.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43123","description":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2740.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2740.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43123","description":"PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2740.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2740.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28122","description":"PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27360","description":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27360","description":"PRTL EXC BONE FEMUR PROX TIBIA and /FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22100","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22100","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":612.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":612.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22103","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22103","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22102","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22102","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22101","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22101","description":"PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":575.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":575.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22110","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":678.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22110","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":678.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22116","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22116","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22114","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22114","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22112","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22112","description":"PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":731.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":731.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL HYMENECTOMY/REVJ HYMENAL RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56700","description":"PRTL HYMENECTOMY/REVJ HYMENAL RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60212","description":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60212","description":"PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60210","description":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60210","description":"PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2620","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2620","description":"PSTN WC BACK CUSHN PLANAR LAT SUPP WDTH  LT 22 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.182,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.182,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2613","description":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2613","description":"PSTN WC BACK CUSHN POST WIDTH  LT  22 IN ANY HEIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.135,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.135,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2615","description":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2615","description":"PSTN WC BACK CUSHN POSTLAT WIDTH  LT  22 IN ANY HT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2616","description":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2616","description":"PSTN WC BACK CUSHN POSTLAT WIDTH 22 IN OR GT  ANY HT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.013,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.013,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2605","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2605","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2606","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2606","description":"PSTN WHEELCHAIR SEAT CUSHN WIDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":426.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":426.448,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90792","description":"PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.0613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.0613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":205.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":205.6827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":222.2496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":222.2496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHIATRIC DIAGNOSTIC EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90791","description":"PSYCHIATRIC DIAGNOSTIC EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.596,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90845","description":"PSYCHOANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90845","description":"PSYCHOANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96131","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96130","description":"PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY COMPLEX INTERACTIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY COMPLEX INTERACTIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90785","description":"PSYCHOTHERAPY COMPLEX INTERACTIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90840","description":"PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":164.3324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":164.3324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":170.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":170.5116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":181.2667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":181.2667,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90832","description":"PSYCHOTHERAPY W/PATIENT 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.492,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90834","description":"PSYCHOTHERAPY W/PATIENT 45 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90837","description":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90837","description":"PSYCHOTHERAPY W/PATIENT 60 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90833","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90836","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 45 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.382,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90838","description":"PSYCHOTHERAPY W/PATIENT W/E and M SRVCS 60 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96137","description":"PSYCL/NRPSYCL TST PHYS/QHP 2 Plus  TST EA ADDL 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96136","description":"PSYL/NRPSYCL TST PHYS/QHP 2 Plus  TST 1ST 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96160","description":"PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.342,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.342,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94014","description":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94014","description":"PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31040","description":"PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":518.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":518.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1588.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1588.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33910","description":"PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1588.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1588.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33915","description":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33915","description":"PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33916","description":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2530.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2530.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33916","description":"PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2530.77,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2530.77,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY PERFUSION IMAGING PARTICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78580","description":"PULMONARY PERFUSION IMAGING PARTICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY PERFUSION IMAGING PARTICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78580","description":"PULMONARY PERFUSION IMAGING PARTICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78582","description":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78582","description":"PULMONARY VENTILATION  AND  PERFUSION IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":166.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":166.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78579","description":"PULMONARY VENTILATION IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PULMONARY VENTILATION IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78579","description":"PULMONARY VENTILATION IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0182","description":"PUMP ALTERNATING PRESSURE PAD REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":308.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":308.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCH BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11104","description":"PUNCH BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.004,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":490.0914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":546.3051,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":612.4723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":612.4723,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":364.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":364.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":406.9566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":406.9566,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":454.4526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":454.4526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"10160","description":"PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19001","description":"PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19000","description":"PUNCTURE ASPIRATION CYST BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19001","description":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19001","description":"PUNCTURE ASPIRATION CYST BREAST EACH ADDL CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST OF BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19000","description":"PUNCTURE ASPIRATION CYST OF BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE ASPIRATION CYST OF BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19000","description":"PUNCTURE ASPIRATION CYST OF BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61070","description":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61070","description":"PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR  AND  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92553","description":"PURE TONE AUDIOMETRY AIR  AND  BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92553","description":"PURE TONE AUDIOMETRY AIR  AND  BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92552","description":"PURE TONE AUDIOMETRY AIR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PURE TONE AUDIOMETRY AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92552","description":"PURE TONE AUDIOMETRY AIR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR OR YOUNGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36440","description":"PUSH TRANSFUSION BLOOD 2 YR/UNDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0802","description":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3037.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3037.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0802","description":"PWR OP VEH GRP 1 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3037.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3037.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0807","description":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1997.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1997.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2322.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2322.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0807","description":"PWR OP VEH GRP 2 HEAVY DUTY PT 301 TO 450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1997.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1997.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2322.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2322.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0806","description":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1972.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0806","description":"PWR OP VEH GRP 2 STD PT WT CAP TO  AND  INCL 300 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1972.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1972.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0808","description":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3091.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3091.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3589.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3589.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0808","description":"PWR OP VEH GRP 2 VERY HEAVY DUTY PT 451-600 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3091.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3091.011,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3589.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3589.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0733","description":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0733","description":"PWR WC 12-24 AMP HR SEALED LEAD ACID BATTERY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.679,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2358","description":"PWR WC ACCESS GRP 34 NONSEALED LEAD ACID BATT EA","negotiated_rates":[{"provider_references":[210414],"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":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3475.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3475.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2330","description":"PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3475.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3475.032,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2367","description":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2367","description":"PWR WC ACSS BATT CHRGR DUL MODE W/EITHER BATT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2366","description":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2366","description":"PWR WC ACSS BATTRY CHRGR 1 MODE W/ONLY 1 BATTRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.707,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2326","description":"PWR WC ACSS BREATH TUBE KIT SIP AND PUFF INTERFCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.627,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1188.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2310","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER AND ONE PWR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1188.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2405.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2405.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2311","description":"PWR WC ACSS ELEC CNCT BETWN WC CNTRLLER and TWO/MORE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2405.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2405.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2351","description":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":709.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2351","description":"PWR WC ACSS ELEC INTERFCE OPERATE SPCH GEN DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":709.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":709.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2363","description":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2363","description":"PWR WC ACSS GRP 24 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2372","description":"PWR WC ACSS GRP 27 NONSEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210414],"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":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1793.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1793.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2329","description":"PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1793.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1793.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2652.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2652.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2327","description":"PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2652.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2652.793,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5032.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5032.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2328","description":"PWR WC ACSS HEAD CNTRL/EXT CNTRL ELEC PRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5032.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5032.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1432.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2322","description":"PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1432.068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1613.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2321","description":"PWR WC ACSS HND CNTRL REMOT JOYSTCK NO PRPRTNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1613.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1613.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2342","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2342","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 20/21 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2343","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":844.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2343","description":"PWR WC ACSS NONSTD SEAT FRME DEPTH 22-25 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":844.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2341","description":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2341","description":"PWR WC ACSS NONSTD SEAT FRME WIDTH 24-27 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.391,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1367.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2325","description":"PWR WC ACSS SIP AND PUFF INTERFCE NONPROPRTNAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1367.85,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1367.85,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2323","description":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2323","description":"PWR WC ACSS SPCLTY JOYSTCK HNDLE HND CNTRL PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2396","description":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2396","description":"PWR WC CASTER FORK REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2395","description":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2395","description":"PWR WC CASTER WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":815.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2370","description":"PWR WC COMP INT DR WHL MTR AND GR BOX COMB REPL ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":815.287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":815.287,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2394","description":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2394","description":"PWR WC DRIVE WHEEL EXCLUDES TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2376","description":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1363.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1363.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2376","description":"PWR WC EXPANDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1363.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1363.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2377","description":"PWR WC EXPANDABLE CONTROLLER UPGRADE INIT ISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2389","description":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2389","description":"PWR WC FOAM CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2388","description":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2388","description":"PWR WC FOAM DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.15,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.15,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2387","description":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2387","description":"PWR WC FOAM FILLED CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.53,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.53,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2386","description":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2386","description":"PWR WC FOAM FILLED DRIVE WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.824,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0831","description":"PWR WC GRP 2 STD SEAT ELEV CAP CHR PT TO 300 LB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0830","description":"PWR WC GRP 2 STD SEAT ELEV SLING PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3444.408,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4513.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4513.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6430.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6430.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0827","description":"PWR WC GRP 2 VRY HVY DTY CAPT CHR PT 451-600 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4513.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4513.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6430.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6430.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5785.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5785.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8206.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8206.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0829","description":"PWR WC GRP 2 XTRA HVY DUTY CHAIR PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5785.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5785.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8206.44,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8206.44,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6122.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6122.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8698.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8698.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0828","description":"PWR WC GRP 2 XTRA HVY DUTY SLING SEAT PT 601LB OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6122.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6122.38,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8698.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8698.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7326.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7326.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8682.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8682.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0859","description":"PWR WC GRP 3 HD 1 PWR CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7326.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7326.583,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8682.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8682.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0858","description":"PWR WC GRP 3 HD 1 PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0862","description":"PWR WC GRP 3 HD MX PWR SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7682.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9103.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6433.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6433.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7624.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7624.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0851","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6433.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6433.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7624.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7624.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7942.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7942.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9411.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9411.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0853","description":"PWR WC GRP 3 HVY DUTY CAPT CHAIR PT 451-600 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7942.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7942.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9411.82,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9411.82,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6691.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6691.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7929.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7929.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0850","description":"PWR WC GRP 3 HVY DUTY SLING SEAT PT 301-450 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6691.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6691.223,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7929.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7929.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6315.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6315.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7484.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7484.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0857","description":"PWR WC GRP 3 STD 1 PWR CAPT CHAIR PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6315.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6315.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7484.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7484.763,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6191.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6191.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7337.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7337.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0856","description":"PWR WC GRP 3 STD 1 PWR SLING SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6191.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6191.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7337.66,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7337.66,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5546.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5546.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6572.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6572.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0849","description":"PWR WC GRP 3 STD CAPTAIN CHAIR PT TO  and   Equal to  300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5546.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5546.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6572.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6572.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6201.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6201.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7349.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7349.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0861","description":"PWR WC GRP 3 STD MX PWR SLNG SEAT PT TO  and  Equal to 300","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6201.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6201.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7349.463,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7349.463,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5768.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5768.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6836.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6836.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0848","description":"PWR WC GRP 3 STD SLING SEAT PT TO  and   Equal to  300 LBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5768.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5768.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6836.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6836.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0860","description":"PWR WC GRP 3 V HD 1 PWR SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0863","description":"PWR WC GRP 3 V HD MX PWR SLNG SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10975.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13006.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7731.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7731.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9162.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9162.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0852","description":"PWR WC GRP 3 V HVY DUTY SLING SEAT PT 451-600 LB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7731.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7731.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9162.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9162.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10521.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10521.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12468.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12468.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0854","description":"PWR WC GRP 3 XTRA HVY DTY SLNG SEAT PT 601 LBS OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10521.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10521.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12468.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12468.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11778.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11778.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9939.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9939.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0855","description":"PWR WC GRP 3X HVY DTY CHR PT WT CAP 601 LB OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11778.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11778.36,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9939.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9939.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0890","description":"PWR WC GRP 5 PED 1 PWR SLING SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[210414],"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":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0891","description":"PWR WC GRP 5 PED MX PWR SLNG SEAT PT TO  and  Equal to 125","negotiated_rates":[{"provider_references":[210414],"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":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2383","description":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2383","description":"PWR WC INSERT PNEUMATIC WHEEL TIRE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2373","description":"PWR WC MINI-PROPORTIONAL COMPACT REMOTE JOYSTICK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":869.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2375","description":"PWR WC NONEXPNDABLE CONTROLLER REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":869.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":869.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2384","description":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2384","description":"PWR WC PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.17,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.17,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2381","description":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2381","description":"PWR WC PNEUMATIC DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2392","description":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2392","description":"PWR WC SOLID CASTER TIRE INTEGRTED WHEEL REPL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.714,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2391","description":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2391","description":"PWR WC SOLID CASTER TIRE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.801,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2390","description":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2390","description":"PWR WC SOLID DRIVE WHEEL TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2374","description":"PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.432,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.432,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2385","description":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2385","description":"PWR WC TUBE PNEUMATIC CASTER TIRE REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2382","description":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2382","description":"PWR WC TUBE PNEUMATIC DRIVE WHEEL TIRE REPL EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2365","description":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2365","description":"PWR WHLCHAIR ACSS U-1 SEALED LEAD ACID BATTRY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50405","description":"PYELOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":878.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50405","description":"PYELOPLASTY COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":878.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50400","description":"PYELOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOPLASTY SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50400","description":"PYELOPLASTY SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/DRAINAGE PYELOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50125","description":"PYELOTOMY W/DRAINAGE PYELOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/DRAINAGE PYELOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50125","description":"PYELOTOMY W/DRAINAGE PYELOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":621.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":621.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50120","description":"PYELOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":600.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50120","description":"PYELOTOMY W/EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":600.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":600.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY W/REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50130","description":"PYELOTOMY W/REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY WITH REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50130","description":"PYELOTOMY WITH REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYELOTOMY WITH REMOVAL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50130","description":"PYELOTOMY WITH REMOVAL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":652.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43520","description":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43520","description":"PYLOROMYOTOMY CUTTING PYLORIC MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43800","description":"PYLOROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43800","description":"PYLOROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Prothrombin time","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85610","description":"Prothrombin time","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Psychoanalysis","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUADRICEPSPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27430","description":"QUADRICEPSPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUADRICEPSPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27430","description":"QUADRICEPSPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":482.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78598","description":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":248.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":248.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78598","description":"QUANT DIFF PULM PRFUSION  and  VENTLAJ W/WO IMAGIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":215.1018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":248.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":248.5027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":280.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":280.0331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":286.8803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":321.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":321.9513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78597","description":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78597","description":"QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":209.6909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":239.9855,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANT SENSORY TEST and INTERPJ/XTR W/COOL STIMULI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0108T","description":"QUANT SENSORY TEST and INTERPJ/XTR W/COOL STIMULI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80299","description":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80299","description":"QUANTITATION DRUG NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93460","description":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":779.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93460","description":"R  AND  L HRT CATH WINJX HRT ART AND  L VENTR IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":552.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":552.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":779.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93453","description":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93453","description":"R  and  L HRT CATH W/NJX L VENTRICULOG IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33476","description":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33476","description":"R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93461","description":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":609.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93461","description":"R and  L HRT CATH W/INJEC HRT ART/GRFT and  L VENT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":609.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":609.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.419,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":995.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.643,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":995.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.643,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.945,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.945,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.945,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.725,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.725,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.725,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58210","description":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1154.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58210","description":"RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1154.868,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.868,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25115","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25115","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25116","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25116","description":"RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69155","description":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1040.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69155","description":"RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1040.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1040.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69150","description":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69150","description":"RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":644.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":644.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS AND HTRTPC BONE ELBW CONTRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24149","description":"RAD RESCJ CAPSL TISS AND HTRTPC BONE ELBW CONTRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24149","description":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24149","description":"RAD RESCJ CAPSL TISS and HTRTPC B1 ELBW CONTRCT RLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25078","description":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1063.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1063.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1156.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1156.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":694.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":694.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":763.6448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":763.6448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.5679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.5679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":830.5802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":830.5802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":866.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":866.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":941.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":941.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":969.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":969.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25078","description":"RAD RESCJ TUM SOFT TISSUE FOREARM and /WRIST 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1063.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1063.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1156.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1156.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":694.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":694.0373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":763.6448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":763.6448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.5679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.5679,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":830.5802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":830.5802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":866.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":866.4861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":941.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":941.705,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":969.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":969.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26118","description":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1064.6537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1064.6537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":611.4369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":611.4369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":670.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":670.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":733.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":733.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":883.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":883.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":971.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":971.9996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26118","description":"RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1064.6537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1064.6537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":611.4369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":611.4369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":670.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":670.5565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":675.5666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":733.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":733.1498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":739.5627,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":809.2036,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":883.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":883.7544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":971.9996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":971.9996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24077","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24077","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24079","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1115.7571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1115.7571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1225.8464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1225.8464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":831.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":831.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24079","description":"RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM Plus","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1115.7571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1115.7571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1225.8464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1225.8464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":831.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":831.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28171","description":"RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27076","description":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1593.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1593.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27076","description":"RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1593.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1593.625,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27078","description":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27078","description":"RAD RESCT TUMOR ISCHIAL TUBEROSITY AND GRT TRCHNTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.347,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.347,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27075","description":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1322.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27075","description":"RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1322.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25077","description":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25077","description":"RAD RESECT TUMOR SOFT TISS FOREARM and /WRIST  LT 3 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":548.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":548.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21557","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21557","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21558","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1118.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1118.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1224.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1224.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1323.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1323.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":794.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":794.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":865.1501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":865.1501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":935.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":935.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21558","description":"RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1118.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1118.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1224.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1224.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1323.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1323.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":794.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":794.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":865.1501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":865.1501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":935.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":935.793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24077","description":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24079","description":"RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1115.7571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1115.7571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1225.8464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1225.8464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1329.6564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":241.5887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":266.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.8391,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":831.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":831.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.7221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26117","description":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26117","description":"RAD RESECT TUMOR SOFT TISSUE HAND/FINGER  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27049","description":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":911.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27049","description":"RAD RESECT TUMOR SOFT TISSUE PELVIS  and  HIP  LT 5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":911.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":911.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27329","description":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27329","description":"RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":664.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26260","description":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26260","description":"RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27364","description":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1035.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1035.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1131.4221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1131.4221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1226.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1226.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1310.8183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1310.8183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1431.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1431.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1551.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1551.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27364","description":"RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1035.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1035.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1131.4221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1131.4221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1226.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1226.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1310.8183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1310.8183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1431.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1431.5292,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1551.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1551.906,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21015","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21015","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP  LT  2CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21016","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":549.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":549.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":600.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":600.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":651.1839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":651.1839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":703.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":703.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":762.3087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":762.3087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21016","description":"RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":549.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":549.9792,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":600.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":600.2142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":647.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":647.5098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":651.1839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":651.1839,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":703.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":703.0555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":762.3087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":762.3087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27059","description":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1038.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1038.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.0861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.0861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1185.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1185.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1220.4021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1220.4021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1292.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1292.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1393.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1393.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1493.6214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1493.6214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1626.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1626.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1754.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1754.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27059","description":"RAD RESECTION TUMOR SOFT TISS PELVIS and HIP 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1038.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1038.5008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.0861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.0861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1185.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1185.2309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1220.4021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1220.4021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1292.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1292.1806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1393.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1393.8864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1493.6214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1493.6214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1626.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1626.1228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1754.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1754.5493,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22904","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":797.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":797.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":865.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":865.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22904","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1039.1354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":797.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":797.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":865.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":865.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":874.1684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.5745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22905","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1005.0999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1005.0999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1096.2509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1096.2509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1118.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1118.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1185.3311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1185.3311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1224.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1224.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1323.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1323.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22905","description":"RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1005.0999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1005.0999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1096.2509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1096.2509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1118.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1118.4291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1185.3311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1185.3311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1224.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1224.5104,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1323.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1323.7445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21935","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21935","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21936","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1182.5589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1182.5589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1293.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1293.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1399.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1399.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":810.0386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":810.0386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":890.5682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":890.5682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":963.0816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":963.0816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21936","description":"RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1074.2063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1182.5589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1182.5589,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1293.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1293.5167,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1399.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1399.7983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":810.0386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":810.0386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":890.5682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":890.5682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":907.5693,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":963.0816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":963.0816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":993.4096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28046","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE  LT 3CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1046.9178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1046.9178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":680.9107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":680.9107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":736.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":736.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":797.3797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":797.3797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":891.7706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":891.7706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":967.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":967.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28047","description":"RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1046.9178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1046.9178,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":680.9107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":680.9107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":736.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":736.8907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":797.3797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":797.3797,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":891.7706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":891.7706,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":967.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":967.9915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27615","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1035.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1035.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1131.4221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1131.4221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1226.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1226.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":797.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":797.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":865.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":865.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27616","description":"RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1035.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1035.8287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1131.4221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1131.4221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1226.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1226.314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.4382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":797.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":797.4799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":865.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":865.6511,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23077","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23077","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER  LT 5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":719.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":719.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23078","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1028.5807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1028.5807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1115.1892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1115.1892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1213.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1213.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1328.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1328.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1440.7812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1440.7812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":938.2981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":938.2981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23078","description":"RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1028.5807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1028.5807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1115.1892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1115.1892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1213.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1213.2877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1328.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1328.6878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1440.7812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1440.7812,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":824.9688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.3213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":938.2981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":938.2981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":976.7759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57531","description":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57531","description":"RAD TRACHELECTOMY W/BI PEL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76100","description":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76100","description":"RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73050","description":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73050","description":"RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76080","description":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76080","description":"RADEX ABSCESS/FISTULA/SINUS TRACT RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73615","description":"RADEX ANKLE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73615","description":"RADEX ANKLE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73610","description":"RADEX ANKLE COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CALCANEUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73650","description":"RADEX CALCANEUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CLAVICLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73000","description":"RADEX CLAVICLE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX CLAVICLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73000","description":"RADEX CLAVICLE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73070","description":"RADEX ELBOW 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73070","description":"RADEX ELBOW 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73085","description":"RADEX ELBOW ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73085","description":"RADEX ELBOW ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73080","description":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73080","description":"RADEX ELBOW COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72082","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72082","description":"RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES  LT  3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70140","description":"RADEX FACIAL BONES  LT  3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES  LT  3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70140","description":"RADEX FACIAL BONES  LT  3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70150","description":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70150","description":"RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FINGR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73140","description":"RADEX FINGR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FINGR MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73140","description":"RADEX FINGR MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.323,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73630","description":"RADEX FOOT COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOREARM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73090","description":"RADEX FOREARM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FOREARM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73090","description":"RADEX FOREARM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76010","description":"RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73120","description":"RADEX HAND 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73120","description":"RADEX HAND 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73130","description":"RADEX HAND MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HAND MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73130","description":"RADEX HAND MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73525","description":"RADEX HIP ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73525","description":"RADEX HIP ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.863,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73502","description":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73502","description":"RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73521","description":"RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73522","description":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73522","description":"RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HUMERUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73060","description":"RADEX HUMERUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX HUMERUS MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73060","description":"RADEX HUMERUS MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX INTERNAL AUDITORY MEATI COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70134","description":"RADEX INTERNAL AUDITORY MEATI COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX INTERNAL AUDITORY MEATI COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70134","description":"RADEX INTERNAL AUDITORY MEATI COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73592","description":"RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70130","description":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70130","description":"RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70160","description":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70160","description":"RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX OPTIC FORAMINA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70190","description":"RADEX OPTIC FORAMINA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX OPTIC FORAMINA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70190","description":"RADEX OPTIC FORAMINA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70200","description":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70200","description":"RADEX ORBITS COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70370","description":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70370","description":"RADEX PHARYNX/LARX W/FLUOR and /MAGNIFICATION TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74470","description":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74470","description":"RADEX RENAL CYST STUDY TRANSLUMBAR RS AND I","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71111","description":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71111","description":"RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BILATERAL 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71110","description":"RADEX RIBS BILATERAL 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS BILATERAL 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71110","description":"RADEX RIBS BILATERAL 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71101","description":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71101","description":"RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNILATERAL 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71100","description":"RADEX RIBS UNILATERAL 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX RIBS UNILATERAL 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71100","description":"RADEX RIBS UNILATERAL 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72220","description":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72220","description":"RADEX SACRUM  AND  COCCYX MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SCAPULA COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73010","description":"RADEX SCAPULA COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SCAPULA COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73010","description":"RADEX SCAPULA COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73020","description":"RADEX SHOULDER 1 VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73020","description":"RADEX SHOULDER 1 VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73040","description":"RADEX SHOULDER ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73040","description":"RADEX SHOULDER ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73030","description":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73030","description":"RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70210","description":"RADEX SINUSES PARANASAL  LT 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70210","description":"RADEX SINUSES PARANASAL  LT 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70220","description":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70220","description":"RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE 1 VIEW SPECIFY LEVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72020","description":"RADEX SPINE 1 VIEW SPECIFY LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE 1 VIEW SPECIFY LEVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72020","description":"RADEX SPINE 1 VIEW SPECIFY LEVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72040","description":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72040","description":"RADEX SPINE CERVICAL 2 OR 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72050","description":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72050","description":"RADEX SPINE CERVICAL 4 OR 5 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72052","description":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72052","description":"RADEX SPINE CERVICAL 6 OR MORE VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72100","description":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72100","description":"RADEX SPINE LUMBOSACRAL 2/3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72110","description":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72110","description":"RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72120","description":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72120","description":"RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72114","description":"RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72070","description":"RADEX SPINE THORACIC 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72070","description":"RADEX SPINE THORACIC 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72072","description":"RADEX SPINE THORACIC 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72072","description":"RADEX SPINE THORACIC 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72074","description":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72074","description":"RADEX SPINE THORACIC MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72080","description":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72080","description":"RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71130","description":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71130","description":"RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNUM MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71120","description":"RADEX STERNUM MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX STERNUM MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71120","description":"RADEX STERNUM MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70330","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70330","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH BILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70328","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70328","description":"RADEX TEMPOROMANDBLE JT OPN  AND  CLSD MOUTH UNILAT","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX TOE MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73660","description":"RADEX TOE MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73092","description":"RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73100","description":"RADEX WRIST 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73100","description":"RADEX WRIST 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73115","description":"RADEX WRIST ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73115","description":"RADEX WRIST ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73110","description":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73110","description":"RADEX WRIST COMPLETE MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77371","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2346.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2346.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77371","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2346.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2346.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77372","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77372","description":"RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77431","description":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77431","description":"RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY  GT or equal to 1 MEV SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY 1 MEV PLUS  SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY 1 MEV PLUS  SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77402","description":"RADIATION TREATMENT DELIVERY LEVEL 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT DELIVERY LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77402","description":"RADIATION TREATMENT DELIVERY LEVEL 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77427","description":"RADIATION TREATMENT MANAGEMENT 5 TREATMENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42844","description":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":883.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42844","description":"RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":883.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":883.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42845","description":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1454.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1454.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1579.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1579.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1615.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1615.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1717.7081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1717.7081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1751.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1751.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1793.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1793.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1904.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1904.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1948.4081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1948.4081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2119.3539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2119.3539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42845","description":"RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1454.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1454.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1579.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1579.2948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":161.6604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1615.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1615.6683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":171.8476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1717.7081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1717.7081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1751.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1751.1424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1793.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1793.1273,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":187.1786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1904.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1904.8867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1948.4081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1948.4081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2119.3539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2119.3539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27077","description":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1774.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27077","description":"RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1774.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1774.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23220","description":"RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1231.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":632.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27647","description":"RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":632.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27645","description":"RADICAL RESECTION OF TUMOR TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1126.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION OF TUMOR TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27645","description":"RADICAL RESECTION OF TUMOR TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1126.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION STERNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21630","description":"RADICAL RESECTION STERNUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION STERNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21630","description":"RADICAL RESECTION STERNUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":843.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":843.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TONSIL W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42842","description":"RADICAL RESECTION TONSIL W/O CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TONSIL W/O CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42842","description":"RADICAL RESECTION TONSIL W/O CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27646","description":"RADICAL RESECTION TUMOR BONE FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR BONE FIBULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27646","description":"RADICAL RESECTION TUMOR BONE FIBULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":981.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23200","description":"RADICAL RESECTION TUMOR CLAVICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":962.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23200","description":"RADICAL RESECTION TUMOR CLAVICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":962.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":962.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26262","description":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26262","description":"RADICAL RESECTION TUMOR DISTAL PHALANX FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR FEMOR OR KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27365","description":"RADICAL RESECTION TUMOR FEMOR OR KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR FEMOR OR KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27365","description":"RADICAL RESECTION TUMOR FEMOR OR KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26250","description":"RADICAL RESECTION TUMOR METACARPAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METACARPAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26250","description":"RADICAL RESECTION TUMOR METACARPAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.358,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR METATARSAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28173","description":"RADICAL RESECTION TUMOR METATARSAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PHALANX OR TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28175","description":"RADICAL RESECTION TUMOR PHALANX OR TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23220","description":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1231.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23220","description":"RADICAL RESECTION TUMOR PROXIMAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1231.978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1231.978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24152","description":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24152","description":"RADICAL RESECTION TUMOR RADIAL HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIUS OR ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25170","description":"RADICAL RESECTION TUMOR RADIUS OR ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR RADIUS OR ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25170","description":"RADICAL RESECTION TUMOR RADIUS OR ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":938.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":938.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23210","description":"RADICAL RESECTION TUMOR SCAPULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1126.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23210","description":"RADICAL RESECTION TUMOR SCAPULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1126.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1126.29,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24150","description":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":986.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24150","description":"RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":986.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25230","description":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25230","description":"RADICAL STYLOIDECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70110","description":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70110","description":"RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74018","description":"RADIOLOGIC EXAM ABDOMEN 1 VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74019","description":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74019","description":"RADIOLOGIC EXAM ABDOMEN 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74021","description":"RADIOLOGIC EXAM ABDOMEN 3 PLUS  VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73565","description":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73565","description":"RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71046","description":"RADIOLOGIC EXAM CHEST 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71046","description":"RADIOLOGIC EXAM CHEST 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM CHEST SINGLE VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"71045","description":"RADIOLOGIC EXAM CHEST SINGLE VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74280","description":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74280","description":"RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74270","description":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74270","description":"RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74022","description":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74022","description":"RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74221","description":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74221","description":"RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74220","description":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74220","description":"RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73580","description":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73580","description":"RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73564","description":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73564","description":"RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70120","description":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70120","description":"RADIOLOGIC EXAM MASTOIDS  LT  3 VIEWS PER SIDE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72190","description":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72190","description":"RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74210","description":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74210","description":"RADIOLOGIC EXAM PHRNX and /CRV ESOPH CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72202","description":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72202","description":"RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70260","description":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70260","description":"RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74251","description":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74251","description":"RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74250","description":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74250","description":"RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74230","description":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74230","description":"RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70320","description":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70320","description":"RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70310","description":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70310","description":"RADIOLOGIC EXAM TEETH PRTL EXAM  LT  FULL MOUTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74246","description":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74246","description":"RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74240","description":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74240","description":"RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73600","description":"RADIOLOGIC EXAMINATION ANKLE 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70030","description":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70030","description":"RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73551","description":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73551","description":"RADIOLOGIC EXAMINATION FEMUR 1 VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73620","description":"RADIOLOGIC EXAMINATION FOOT 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73560","description":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73560","description":"RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73562","description":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73562","description":"RADIOLOGIC EXAMINATION KNEE 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70100","description":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70100","description":"RADIOLOGIC EXAMINATION MANDIPLE PRTL  LT 4 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70360","description":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70360","description":"RADIOLOGIC EXAMINATION NECK SOFT TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77075","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77076","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77074","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77074","description":"RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72170","description":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72170","description":"RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"72200","description":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"72200","description":"RADIOLOGIC EXAMINATION SACROILIAC JNTS  LT 3 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70380","description":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70380","description":"RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SELLA TURCICA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70240","description":"RADIOLOGIC EXAMINATION SELLA TURCICA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SELLA TURCICA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70240","description":"RADIOLOGIC EXAMINATION SELLA TURCICA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70250","description":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70250","description":"RADIOLOGIC EXAMINATION SKULL 4 LT  VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70300","description":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70300","description":"RADIOLOGIC EXAMINATION TEETH 1 VIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"73590","description":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"73590","description":"RADIOLOGIC EXAMINATION TIBIA  AND  FIBULA 2 VIEWS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.977,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76098","description":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76098","description":"RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75989","description":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75989","description":"RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78660","description":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78660","description":"RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4641","description":"RADIOPHARMACEUTICAL DIAGNOSTIC NOC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RADIOPHARMACEUTICAL THERAPEUTIC NOC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9699","description":"RADIOPHARMACEUTICAL THERAPEUTIC NOC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAISED TOILET SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0244","description":"RAISED TOILET SEAT","negotiated_rates":[{"provider_references":[210414],"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":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95180","description":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95180","description":"RAPID DESENSITIZATION PROCEDURE EACH HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATCHET ASSEMBLY REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0050","description":"RATCHET ASSEMBLY REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RATCHET ASSEMBLY REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0050","description":"RATCHET ASSEMBLY REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS FRZN/DEGLYCEROLIZED/WASHED LEUKOCYTES RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9057","description":"RBCS FRZN/DEGLYCEROLIZED/WASHED LEUKOCYTES RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9058","description":"RBCS LEUKOCYTES REDUCED CMV-NEG IRRADATD EA UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9040","description":"RBCS LEUKOCYTES REDUCED IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28313","description":"RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21175","description":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1404.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1404.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21175","description":"RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS  AND  LWR FHD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1404.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1404.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26545","description":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26545","description":"RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":480.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":480.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26542","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26542","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26541","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26541","description":"RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21181","description":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21181","description":"RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27424","description":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27424","description":"RCNSTJ DISLC PATELLA W/PATELLECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27422","description":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27422","description":"RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT and /MUSC RL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLOCATING PATELLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27420","description":"RCNSTJ DISLOCATING PATELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ DISLOCATING PATELLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27420","description":"RCNSTJ DISLOCATING PATELLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD  and / SUPRAORB RIMS W/ALGRF/PROSTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21179","description":"RCNSTJ FOREHEAD  and / SUPRAORB RIMS W/ALGRF/PROSTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":970.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD  and / SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21180","description":"RCNSTJ FOREHEAD  and / SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21180","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21180","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1082.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21179","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":970.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21179","description":"RCNSTJ FOREHEAD and /SUPRAORBITAL RIMS W/GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":970.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":970.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24344","description":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24344","description":"RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21249","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":867.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21249","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":867.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":867.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21248","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":640.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21248","description":"RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":640.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":640.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21188","description":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21188","description":"RCNSTJ MDFC OTH/THN LEFORT OSTEOT  and  BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24346","description":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24346","description":"RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21145","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21145","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21141","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":857.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21141","description":"RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":857.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":857.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21146","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1038.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21146","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1038.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1038.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21142","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":879.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21142","description":"RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":879.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":879.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21147","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1091.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1091.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21147","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1091.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1091.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21143","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":906.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21143","description":"RCNSTJ MIDFACE LEFORT I 3 OR GT  PIECE W/O BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":906.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21150","description":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1044.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21150","description":"RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1044.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1044.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21151","description":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1147.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21151","description":"RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1147.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1147.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21160","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1775.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1775.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21160","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1775.587,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1775.587,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21159","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1638.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1638.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21159","description":"RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1638.45,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1638.45,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21155","description":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1369.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21155","description":"RCNSTJ MIDFACE LEFORT III W/LEFORT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1369.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1369.522,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21154","description":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21154","description":"RCNSTJ MIDFACE LEFORT III W/O LEFORT I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21244","description":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21244","description":"RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":647.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":647.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21246","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21246","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21245","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21245","description":"RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21247","description":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1014.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21247","description":"RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1014.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1014.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21194","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":913.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21194","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":913.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":913.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21193","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21193","description":"RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21196","description":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":918.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21196","description":"RCNSTJ MNDBLR RAMI and /BDY SGTL SPLT W/INT RGD FI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":918.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.632,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21195","description":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21195","description":"RCNSTJ MNDBLR RAMI and /BODY SGTL SPLT W/O INT RGD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21183","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1462.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21183","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF GT 40  LT 80","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1462.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1462.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21184","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1572.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1572.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21184","description":"RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF GT 80SQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1572.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1572.043,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21182","description":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1345.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21182","description":"RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF LT 40SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1345.883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1345.883,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47800","description":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":978.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47800","description":"RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":978.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":978.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26587","description":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":677.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26587","description":"RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE  AND  BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":677.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":677.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28238","description":"RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25337","description":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25337","description":"RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21172","description":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1335.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21172","description":"RCNSTJ SUPERIOR-LATERAL ORBITAL RIM  AND  LOWER FHD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1335.191,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1335.191,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26502","description":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26502","description":"RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":493.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":493.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26500","description":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26500","description":"RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28341","description":"RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28340","description":"RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":367.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28345","description":"RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69320","description":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69320","description":"RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21255","description":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21255","description":"RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":860.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":860.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62117","description":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1238.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62117","description":"RDCTJ CRANIOMEGALIC CRANIO and RECNSTJ W/WO GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1238.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62115","description":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1074.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62115","description":"RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1074.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1074.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21139","description":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21139","description":"RDCTJ FHD CNTRG  AND  SETBACK ANT FRONTAL SINUS WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21138","description":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21138","description":"RDCTJ FHD CNTRG  and  PROSTHETIC MATRL/BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45900","description":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45900","description":"RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44050","description":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44050","description":"RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RE-EVALUATION - LIMITED PROBLEM FOCUSED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"D0170","description":"RE-EVALUATION - LIMITED PROBLEM FOCUSED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26437","description":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26437","description":"REALIGNMENT EXTENSOR TENDON HAND EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":438.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":438.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0069","description":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0069","description":"REAR WHL ASM CMPL SLD TIRE SPKE/MLD REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.72,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.72,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0070","description":"REAR WHL ASM COMP PNEUM TIRE SPKS/MLD RPL ONLY E","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84235","description":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84235","description":"RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.584,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84238","description":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84238","description":"RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.408,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.186,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.186,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50340","description":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50340","description":"RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1014","description":"RECLIN BACK ADDITION PEDIATRIC SIZE WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":712.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION CLEFT FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28360","description":"RECONSTRUCTION CLEFT FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":712.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33622","description":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2372.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2372.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2582.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2582.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.5999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.5999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2635.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2635.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2752.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2752.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2815.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2815.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2871.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2871.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3058.1864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3058.1864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3067.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3067.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3266.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3266.7416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33622","description":"RECONSTRUCTION COMPLEX CARDIAC ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2372.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2372.4325,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":246.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":246.9329,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2582.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2582.257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":263.5999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":263.5999,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2635.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2635.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2752.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2752.2008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":278.6971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2815.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2815.2951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2871.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2871.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3058.1864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3058.1864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3067.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3067.2046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":3266.7416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":3266.7416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69310","description":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":726.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69310","description":"RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":726.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":726.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION NAIL BED W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11762","description":"RECONSTRUCTION NAIL BED W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.149,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23420","description":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":632.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23420","description":"RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":632.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":632.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION TOE POLYDACTYLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28344","description":"RECONSTRUCTION TOE POLYDACTYLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":272.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":272.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION VENA CAVA ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34502","description":"RECONSTRUCTION VENA CAVA ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":946.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECONSTRUCTION VENA CAVA ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34502","description":"RECONSTRUCTION VENA CAVA ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":946.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":946.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL CATH USE ANY TYPE TRANSANAL IRR SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4453","description":"RECTAL CATH USE ANY TYPE TRANSANAL IRR SYS EA","negotiated_rates":[{"provider_references":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0184T","description":"RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0184T","description":"RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9039","description":"RED BLOOD CELLS DEGLYCEROLIZED EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9021","description":"RED BLOOD CELLS EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9021","description":"RED BLOOD CELLS EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS IRRADIATED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9038","description":"RED BLOOD CELLS IRRADIATED EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9016","description":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9016","description":"RED BLOOD CELLS LEUKOCYTES REDUCED EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS WASHED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P9022","description":"RED BLOOD CELLS WASHED EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED BLOOD CELLS WASHED EACH UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9022","description":"RED BLOOD CELLS WASHED EACH UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78130","description":"RED CELL SURVIVAL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL SURVIVAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78130","description":"RED CELL SURVIVAL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78120","description":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78120","description":"RED CELL VOLUME DETERMINATION SPX 1 SAMPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78121","description":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78121","description":"RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION FOREHEAD CONTOURING ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21137","description":"REDUCTION FOREHEAD CONTOURING ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION FOREHEAD CONTOURING ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21137","description":"REDUCTION FOREHEAD CONTOURING ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MAMMAPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19318","description":"REDUCTION MAMMAPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21295","description":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21295","description":"REDUCTION MASSETER MUSCLE  AND  BONE EXTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21296","description":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21296","description":"REDUCTION MASSETER MUSCLE  AND  BONE INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"V2626","description":"REDUCTION OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REDUCTION OF OCULAR PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2626","description":"REDUCTION OF OCULAR PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96522","description":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96522","description":"REFILL AND MAINTENANCE PUMP DRUG DLVR SYSTEMIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4220","description":"REFILL KIT FOR IMPLANTABLE INFUSION PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95990","description":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95990","description":"REFILL and MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96521","description":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96521","description":"REFILLING  AND  MAINTENANCE PORTABLE PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33788","description":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":937.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33788","description":"REIMPLANTATION ANOMALOUS PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":937.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":937.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION SPINAL FIXATION DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22849","description":"REINSERTION SPINAL FIXATION DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":830.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REINSERTION SPINAL FIXATION DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22849","description":"REINSERTION SPINAL FIXATION DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":830.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26593","description":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26593","description":"RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":424.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":424.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE TARSAL TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28035","description":"RELEASE TARSAL TUNNEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE THENAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26508","description":"RELEASE THENAR MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE THENAR MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26508","description":"RELEASE THENAR MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE/RECESSION HAMSTRING PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27097","description":"RELEASE/RECESSION HAMSTRING PROXIMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELEASE/RECESSION HAMSTRING PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27097","description":"RELEASE/RECESSION HAMSTRING PROXIMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33223","description":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33223","description":"RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION OF SKIN POCKET FOR PACEMAKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33222","description":"RELOCATION OF SKIN POCKET FOR PACEMAKER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RELOCATION OF SKIN POCKET FOR PACEMAKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33222","description":"RELOCATION OF SKIN POCKET FOR PACEMAKER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93297","description":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93297","description":"REM INTERROG ICPMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93294","description":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93294","description":"REM INTERROG PM/LDLS PM  LT 90 D PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93296","description":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93296","description":"REM INTERROG PM/LDLS PM/IDS  LT 90 D TECH REVIEW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93298","description":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93298","description":"REM INTERROG SCRMS  LT 30 D PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99454","description":"REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99453","description":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99453","description":"REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99454","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99454","description":"REM MNTR PHYSIOL PARAM DEV SPLY W/REC 16-30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99457","description":"REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANAL SETON OTHER MARKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46030","description":"REMOVAL ANAL SETON OTHER MARKER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANAL SETON OTHER MARKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46030","description":"REMOVAL ANAL SETON OTHER MARKER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANKLE IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27704","description":"REMOVAL ANKLE IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANTERIOR INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22855","description":"REMOVAL ANTERIOR INSTRUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL ANTERIOR INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22855","description":"REMOVAL ANTERIOR INSTRUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59871","description":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59871","description":"REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.782,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.782,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21029","description":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21029","description":"REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64570","description":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":527.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":527.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":591.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":591.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":594.4692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":594.4692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":655.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":655.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":663.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":663.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":671.0909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":671.0909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":731.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":731.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":757.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":757.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":834.6217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":834.6217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64570","description":"REMOVAL CRNL NRV NSTIM ELTRDS  AND  PULSE GENERATO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":527.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":527.0328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":591.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":591.1625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":594.4692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":594.4692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":655.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":655.2255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":663.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":663.4755,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":671.0909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":671.0909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":731.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":731.2793,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":757.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":757.8998,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":834.6217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":834.6217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20694","description":"REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27372","description":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27372","description":"REMOVAL FOREIGN BODY DEEP THIGH/KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT COMPLICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28193","description":"REMOVAL FOREIGN BODY FOOT COMPLICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28192","description":"REMOVAL FOREIGN BODY FOOT DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28190","description":"REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":155.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":155.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30310","description":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30310","description":"REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30300","description":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30300","description":"REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20520","description":"REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27087","description":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27087","description":"REMOVAL FOREIGN BODY PELVIS/HIP DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PHARYNX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42809","description":"REMOVAL FOREIGN BODY PHARYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY PHARYNX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42809","description":"REMOVAL FOREIGN BODY PHARYNX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23330","description":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23330","description":"REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24201","description":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24201","description":"REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27090","description":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27090","description":"REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69210","description":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69210","description":"REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69209","description":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69209","description":"REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57415","description":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57415","description":"REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT DEEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20680","description":"REMOVAL IMPLANT DEEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":389.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":389.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT FROM FINGER/HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26320","description":"REMOVAL IMPLANT FROM FINGER/HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT FROM FINGER/HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26320","description":"REMOVAL IMPLANT FROM FINGER/HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":233.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20670","description":"REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11976","description":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11976","description":"REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33241","description":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33241","description":"REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36262","description":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36262","description":"REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":203.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50384","description":"REMOVAL INDWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INDWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50384","description":"REMOVAL INDWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":542.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19328","description":"REMOVAL INTACT BREAST IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT BREAST IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19328","description":"REMOVAL INTACT BREAST IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTACT MAMMARY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19328","description":"REMOVAL INTACT MAMMARY IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":359.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33968","description":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33968","description":"REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58301","description":"REMOVAL INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL INTRAUTERINE DEVICE IUD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58301","description":"REMOVAL INTRAUTERINE DEVICE IUD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32445","description":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2153.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2153.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32445","description":"REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2153.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2153.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32442","description":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1855.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1855.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32442","description":"REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1855.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1855.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL MAMMARY IMPLANT MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19330","description":"REMOVAL MAMMARY IMPLANT MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11982","description":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11982","description":"REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LUNG PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32440","description":"REMOVAL OF LUNG PNEUMONECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":966.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF LUNG PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32440","description":"REMOVAL OF LUNG PNEUMONECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":966.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":966.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50370","description":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":774.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50370","description":"REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":774.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PANCREATIC CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48020","description":"REMOVAL PANCREATIC CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":743.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PANCREATIC CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48020","description":"REMOVAL PANCREATIC CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":743.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":743.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49402","description":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49402","description":"REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33233","description":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33233","description":"REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22850","description":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22850","description":"REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":475.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22852","description":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22852","description":"REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11008","description":"REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23000","description":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23000","description":"REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":363.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":363.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES UNDER ANESTHESIA OTHER SURGEON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15851","description":"REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11971","description":"REMOVAL TISS EXPANDER W/O INSERTION PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11971","description":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11971","description":"REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20665","description":"REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20665","description":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20665","description":"REMOVAL TONGS/HALO APPLIED BY ANOTHER INDIVIDUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUMOR TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69970","description":"REMOVAL TUMOR TEMPORAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1353.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUMOR TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69970","description":"REMOVAL TUMOR TEMPORAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1353.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1353.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49422","description":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49422","description":"REMOVAL TUNNELED INTRAPERITONEAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":136.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33977","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33977","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33978","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33978","description":"REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25251","description":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25251","description":"REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25250","description":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25250","description":"REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29705","description":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29705","description":"REMOVAL/BIVALVING FULL ARM/FULL LEG CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29700","description":"REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50385","description":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":642.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50385","description":"REMOVE  AND  REPLACE INDWELL URETERAL STENT TRURTHRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":642.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":642.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50386","description":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50386","description":"REMOVE INT DWELL URETERAL STENT TRANSURETHRAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53446","description":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53446","description":"REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":410.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33228","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33228","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33229","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33229","description":"REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33227","description":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33227","description":"REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":274.9896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":300.1071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50360","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1535.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50360","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1535.655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1535.655,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50365","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1837.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1837.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50365","description":"RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1837.066,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1837.066,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50380","description":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50380","description":"RENAL AUTOTRANSPLANTATION REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50380","description":"RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1302.697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY PRQ TROCAR/NEEDLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50200","description":"RENAL BIOPSY PRQ TROCAR/NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY PRQ TROCAR/NEEDLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50200","description":"RENAL BIOPSY PRQ TROCAR/NEEDLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY SURG EXPOSURE KIDNEY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50205","description":"RENAL BIOPSY SURG EXPOSURE KIDNEY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL BIOPSY SURG EXPOSURE KIDNEY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50205","description":"RENAL BIOPSY SURG EXPOSURE KIDNEY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":477.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50551","description":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50551","description":"RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50010","description":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50010","description":"RENAL EXPLORATION NOT NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80069","description":"RENAL FUNCTION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL FUNCTION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80069","description":"RENAL FUNCTION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.634,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50555","description":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50555","description":"RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50557","description":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50557","description":"RENAL NDSC NEPHROS/PYELOSTOMY FULG and /INC W/WO BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50562","description":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50562","description":"RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50561","description":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50561","description":"RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50553","description":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50553","description":"RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50574","description":"RENAL NDSC NEPHROTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50574","description":"RENAL NDSC NEPHROTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50570","description":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50570","description":"RENAL NDSC NEPHROTOMY W/WO IRRIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80416","description":"RENAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RENAL VEIN RENIN STIMULATION PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80416","description":"RENAL VEIN RENIN STIMULATION PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOPENING RECENT LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49002","description":"REOPENING RECENT LAPAROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REOPENING RECENT LAPAROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49002","description":"REOPENING RECENT LAPAROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":654.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANAL FISTULA W/FIBRIN GLUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46706","description":"REPAIR ANAL FISTULA W/FIBRIN GLUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANAL FISTULA W/FIBRIN GLUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46706","description":"REPAIR ANAL FISTULA W/FIBRIN GLUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANORECTAL FISTULA PLUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46707","description":"REPAIR ANORECTAL FISTULA PLUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANORECTAL FISTULA PLUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46707","description":"REPAIR ANORECTAL FISTULA PLUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANTERIOR PALATE W/VOMER FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42235","description":"REPAIR ANTERIOR PALATE W/VOMER FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ANTERIOR PALATE W/VOMER FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42235","description":"REPAIR ANTERIOR PALATE W/VOMER FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35207","description":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35207","description":"REPAIR BLOOD VESSEL DIRECT HAND FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35221","description":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35221","description":"REPAIR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35226","description":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35226","description":"REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35201","description":"REPAIR BLOOD VESSEL DIRECT NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35201","description":"REPAIR BLOOD VESSEL DIRECT NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":567.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35206","description":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35206","description":"REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35251","description":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35251","description":"REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1053.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1053.096,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35256","description":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35256","description":"REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35261","description":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35261","description":"REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35231","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":782.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35231","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":782.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":782.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35236","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35236","description":"REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33305","description":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2477.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2477.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33305","description":"REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2477.519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2477.519,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33300","description":"REPAIR CARDIAC WOUND W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1490.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CARDIAC WOUND W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33300","description":"REPAIR CARDIAC WOUND W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1490.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1490.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30540","description":"REPAIR CHOANAL ATRESIA INTRANASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30540","description":"REPAIR CHOANAL ATRESIA INTRANASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA TRANSPALATINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30545","description":"REPAIR CHOANAL ATRESIA TRANSPALATINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CHOANAL ATRESIA TRANSPALATINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30545","description":"REPAIR CHOANAL ATRESIA TRANSPALATINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CLEFT HAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26580","description":"REPAIR CLEFT HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":994.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CLEFT HAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26580","description":"REPAIR CLEFT HAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":994.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":994.499,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13131","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":251.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13132","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13133","description":"REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13120","description":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13120","description":"REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":229.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":229.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13121","description":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13121","description":"REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13122","description":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13122","description":"REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":81.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13100","description":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13100","description":"REPAIR COMPLEX TRUNK 1.1-2.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":220.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13101","description":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13101","description":"REPAIR COMPLEX TRUNK 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":256.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13102","description":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13102","description":"REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"13153","description":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"13153","description":"REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35184","description":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35184","description":"REPAIR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35180","description":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35180","description":"REPAIR CONGENITAL AV FISTULA HEAD  AND  NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35182","description":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1098.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35182","description":"REPAIR CONGENITAL AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1098.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27727","description":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27727","description":"REPAIR CONGENITAL PSEUDARTHROSIS TIBIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25426","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25426","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS and ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":722.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25425","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25425","description":"REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27676","description":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27676","description":"REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57270","description":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57270","description":"REPAIR ENTEROCELE ABDOMINAL APPROACH SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57268","description":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57268","description":"REPAIR ENTEROCELE VAGINAL APPROACH SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26434","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26434","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26433","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26433","description":"REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26420","description":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26420","description":"REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26418","description":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26418","description":"REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":412.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26412","description":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26412","description":"REPAIR EXTENSOR TENDON HAND W/GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26410","description":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26410","description":"REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FASCIAL DEFECT LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27656","description":"REPAIR FASCIAL DEFECT LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FASCIAL DEFECT LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27656","description":"REPAIR FASCIAL DEFECT LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27726","description":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27726","description":"REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA OROMAXILLARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30580","description":"REPAIR FISTULA OROMAXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA OROMAXILLARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30580","description":"REPAIR FISTULA OROMAXILLARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA ORONASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30600","description":"REPAIR FISTULA ORONASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FISTULA ORONASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30600","description":"REPAIR FISTULA ORONASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27658","description":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27658","description":"REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.43,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.259,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.259,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.259,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":325.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":325.259,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.019,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.019,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.255,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.255,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.544,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12047","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT  GT 30.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12045","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12041","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12042","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":201.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12044","description":"REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12037","description":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12037","description":"REPAIR INTERMEDIATE S/A/T/E  GT 30.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12035","description":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12035","description":"REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12031","description":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12031","description":"REPAIR INTERMEDIATE S/A/T/E 2.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12032","description":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12032","description":"REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12036","description":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12036","description":"REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12034","description":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12034","description":"REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26591","description":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26591","description":"REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39501","description":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39501","description":"REPAIR LACERATION DIAPHRAGM ANY APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42182","description":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42182","description":"REPAIR LACERATION PALATE  GT 2 CM/COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42180","description":"REPAIR LACERATION PALATE  LT 2 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LACERATION PALATE  LT 2 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42180","description":"REPAIR LACERATION PALATE  LT 2 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24343","description":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24343","description":"REPAIR LATERAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":471.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40652","description":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40652","description":"REPAIR LIP FULL THICKNESS  LT HALF VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40650","description":"REPAIR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40650","description":"REPAIR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUMBAR HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49540","description":"REPAIR LUMBAR HERNIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUMBAR HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49540","description":"REPAIR LUMBAR HERNIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUNG HERNIA THROUGH CHEST WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32800","description":"REPAIR LUNG HERNIA THROUGH CHEST WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR LUNG HERNIA THROUGH CHEST WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32800","description":"REPAIR LUNG HERNIA THROUGH CHEST WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":590.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":590.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MACRODACTYLIA EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26590","description":"REPAIR MACRODACTYLIA EACH DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":921.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MACRODACTYLIA EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26590","description":"REPAIR MACRODACTYLIA EACH DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":921.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":921.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24345","description":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":466.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24345","description":"REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":466.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63702","description":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":915.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63702","description":"REPAIR MENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":915.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63700","description":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63700","description":"REPAIR MENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":839.476,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63706","description":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1177.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63706","description":"REPAIR MYELOMENINGOCELE  GT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1177.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1177.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63704","description":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1064.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63704","description":"REPAIR MYELOMENINGOCELE  LT  5 CM DIAMETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1064.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1064.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NAIL BED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11760","description":"REPAIR NAIL BED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL SEPTAL PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30630","description":"REPAIR NASAL SEPTAL PERFORATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL SEPTAL PERFORATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30630","description":"REPAIR NASAL SEPTAL PERFORATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":432.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":432.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VESTIBULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30465","description":"REPAIR NASAL VESTIBULAR STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASAL VESTIBULAR STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30465","description":"REPAIR NASAL VESTIBULAR STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":660.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":660.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASOLABIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42260","description":"REPAIR NASOLABIAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NASOLABIAL FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42260","description":"REPAIR NASOLABIAL FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24435","description":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24435","description":"REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":700.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":700.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24430","description":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24430","description":"REPAIR NON/MALUNION HUMERUS W/O GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":681.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":681.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION CARPAL BONE EACH BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25431","description":"REPAIR NONUNION CARPAL BONE EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION CARPAL BONE EACH BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25431","description":"REPAIR NONUNION CARPAL BONE EACH BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TARSAL BONES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28320","description":"REPAIR NONUNION/MALUNION TARSAL BONES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":399.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":399.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27720","description":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27720","description":"REPAIR NONUNION/MALUNION TIBIA W/O GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27722","description":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27722","description":"REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4205","description":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4205","description":"REPAIR ORTHOTIC DEVC LABOR COMPONENT PER 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4210","description":"REPAIR ORTHOTIC DEVC REPAIR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[210414],"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":"REPAIR OVAL WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69666","description":"REPAIR OVAL WINDOW FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR OVAL WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69666","description":"REPAIR OVAL WINDOW FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS BY LIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PATENT DUCTUS ARTERIOSUS LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33820","description":"REPAIR PATENT DUCTUS ARTERIOSUS LIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33824","description":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33824","description":"REPAIR PDA BY DIVISION 18 YEARS  and  OLDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33822","description":"REPAIR PDA BY DIVISION YOUNGER THAN 18 YRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1284.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21742","description":"REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1284.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21740","description":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21740","description":"REPAIR PECTUS EXCAVATUM/CARINATUM OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":638.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":638.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27650","description":"REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27407","description":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27407","description":"REPAIR PRIMARY TORN LIGM and /CAPSULE KNEE CRUCIAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":519.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7520","description":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7520","description":"REPAIR PROSTHETIC DEVICE LABOR CMPNT PER 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PULMONARY VENOUS STENOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33726","description":"REPAIR PULMONARY VENOUS STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR PULMONARY VENOUS STENOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33726","description":"REPAIR PULMONARY VENOUS STENOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RECTOCELE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45560","description":"REPAIR RECTOCELE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR RECTOCELE SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45560","description":"REPAIR RECTOCELE SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ROUND WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69667","description":"REPAIR ROUND WINDOW FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR ROUND WINDOW FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69667","description":"REPAIR ROUND WINDOW FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27654","description":"REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":467.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27698","description":"REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SPICA BODY CAST/JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29720","description":"REPAIR SPICA BODY CAST/JACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SPICA BODY CAST/JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29720","description":"REPAIR SPICA BODY CAST/JACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26562","description":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26562","description":"REPAIR SYNDACTYLY EACH SPACE COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":892.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":892.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26560","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26560","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26561","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26561","description":"REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS and GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":637.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":637.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28208","description":"REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":313.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":313.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24341","description":"REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.217,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90867","description":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90867","description":"REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL and M","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90869","description":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90869","description":"REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV  and  MN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":224.048,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":224.048,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4234","description":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4234","description":"REPL BATT ALKALINE J CELL HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4233","description":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4233","description":"REPL BATT ALKALINE NOT J CELL HOM BG MON OWND PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4235","description":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4235","description":"REPL BATT LITHIUM MED NECES HOM BG MON OWN PT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4236","description":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4236","description":"REPL BATT SILVER OXIDE HOM BG MON OWND PT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0604","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0604","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 3.6 VOLT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0605","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0605","description":"REPL BATTERY EXT INFUS PUMP LITHIUM 4.5 VOLT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0602","description":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0602","description":"REPL BATTERY EXT INFUS PUMP SILVER OXIDE 3 V EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.174,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.174,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0601","description":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0601","description":"REPL BATTRY EXT INFUS PUMP SILVER OXIDE 1.5 V EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2619","description":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2619","description":"REPL COVER WHEELCHAIR SEAT CUSHN/BACK CUSHN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7502","description":"REPL DIAPHRAGM/FCEPLATE TRACHEOSTOMA VALVE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4257","description":"REPL LENS SHIELD CARTRIDGE LASR SKN PIERC DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6884","description":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2834.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2834.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6884","description":"REPL SOCKET ABOVE ELBOW/ELBOW DISART MOLD TO PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2834.227,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2834.227,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6883","description":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2074.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2074.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6883","description":"REPL SOCKET BE/WD MOLDED TO PATIENT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2074.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2074.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6885","description":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6885","description":"REPL SOCKET SD/INTERSCAPULAR THOR MOLD PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4298.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5701","description":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4491.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4491.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5701","description":"REPL SOCKT ABOVE KNEE/KNEE DISARTIC W/ATTCH PLAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4491.014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4491.014,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49451","description":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49451","description":"REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49450","description":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49450","description":"REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":377.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4000","description":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1376.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4000","description":"REPLACE GIRDLE FOR SPINAL ORTHOSIS CTLSO OR SO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1376.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.144,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4060","description":"REPLACE HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE HIGH ROLL CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4060","description":"REPLACE HIGH ROLL CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4100","description":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4100","description":"REPLACE LEATHER CUFF KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.11,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.11,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4110","description":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4110","description":"REPLACE LEATHER CUFF KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4080","description":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4080","description":"REPLACE METAL BANDS KAFO PROXIMAL THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4090","description":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4090","description":"REPLACE METAL BANDS KAFO-AFO CALF/DISTAL THIGH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PRETIBIAL SHELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4130","description":"REPLACE PRETIBIAL SHELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PRETIBIAL SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4130","description":"REPLACE PRETIBIAL SHELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4070","description":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4070","description":"REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.47,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.47,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4020","description":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4020","description":"REPLACE QUADRILAT SOCKET BRIM MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE TRILATERAL SOCKET BRIM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4010","description":"REPLACE TRILATERAL SOCKET BRIM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACE TRILATERAL SOCKET BRIM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4010","description":"REPLACE TRILATERAL SOCKET BRIM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":760.375,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33413","description":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1954.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1954.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33413","description":"REPLACEMENT AORTIC AND PULMON VALVES ROSS PROCEDUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1954.26,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1954.26,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33412","description":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1904.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1904.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33412","description":"REPLACEMENT AORTIC VALVE KONNO PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1904.507,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1904.507,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4638","description":"REPLACEMENT BATTRY PT-OWNED EAR PULSE GEN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49452","description":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49452","description":"REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4636","description":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4636","description":"REPLACEMENT HANDGRIP CANE CRUTCH OR WALKER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33430","description":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1708.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33430","description":"REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1708.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1708.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33475","description":"REPLACEMENT PULMONARY VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1413.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT PULMONARY VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33475","description":"REPLACEMENT PULMONARY VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1413.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1413.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5700","description":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3695.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3695.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5700","description":"REPLACEMENT SOCKET BELOW KNEE BK MOLDED PT MODEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3695.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3695.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4637","description":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4637","description":"REPLACEMENT TIP CANE CRUTCH WALKER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11970","description":"REPLACEMENT TISS EXPANDER PERMANENT PROSTHESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11970","description":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11970","description":"REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":364.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33465","description":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1675.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1675.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33465","description":"REPLACEMENT TRICUSPID VALVE W/CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1675.663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1675.663,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION ARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20802","description":"REPLANTATION ARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1742.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1742.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION ARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20802","description":"REPLANTATION ARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1742.895,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1742.895,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOOT COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20838","description":"REPLANTATION FOOT COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1769.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1769.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOOT COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20838","description":"REPLANTATION FOOT COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1769.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1769.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOREARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20805","description":"REPLANTATION FOREARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2066.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2066.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION FOREARM COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20805","description":"REPLANTATION FOREARM COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2066.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2066.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION HAND COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20808","description":"REPLANTATION HAND COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2487.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2487.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLANTATION HAND COMPLETE AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20808","description":"REPLANTATION HAND COMPLETE AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2487.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2487.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4630","description":"REPLCMT BATTRY MED NECES TRNSQ ELEC STIM OWND PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4633","description":"REPLCMT BULB/LAMP ULTRAVIOLET LIGHT TX SYSTEM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4640","description":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4640","description":"REPLCMT PAD W/MED NECES ALTRNAT PRSS PAD OWND PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5702","description":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5377.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5377.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5702","description":"REPLCMT SOCKT HIP DISARTIC W/HIP JNT MOLD PT MDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5377.603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5377.603,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43761","description":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43761","description":"REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7510","description":"REPR PROSTHETIC DEVICE REPR/REPLACE MINOR PARTS","negotiated_rates":[{"provider_references":[210414],"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":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0740","description":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0740","description":"REPR/SRVC FOR O2 EQP RQR TECH CMPNT PER 15 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.131,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.131,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62252","description":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62252","description":"REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37192","description":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1095.0819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1095.0819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1237.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1237.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1406.6121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1406.6121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37192","description":"REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1095.0819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1095.0819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1237.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1237.3029,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1406.6121,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1406.6121,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPTILASE TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85635","description":"REPTILASE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REPTILASE TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85635","description":"REPTILASE TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32504","description":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1250.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32504","description":"RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1250.887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1250.887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32503","description":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1100.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1100.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32503","description":"RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1100.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1100.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39561","description":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39561","description":"RESCJ DIAPHRAGM W/COMPLEX REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39560","description":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39560","description":"RESCJ DIAPHRAGM W/SIMPLE REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42892","description":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1188.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42892","description":"RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1188.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1188.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40530","description":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40530","description":"RESCJ LIP  GT  ONE-FOURTH W/O RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":362.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":362.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58950","description":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":734.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58950","description":"RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":734.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":734.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PALATE/EXTENSIVE RESCJ LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42120","description":"RESCJ PALATE/EXTENSIVE RESCJ LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":648.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PALATE/EXTENSIVE RESCJ LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42120","description":"RESCJ PALATE/EXTENSIVE RESCJ LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":648.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":648.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42894","description":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1505.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42894","description":"RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1505.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1505.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58952","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58952","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC RAD DEBULKING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58951","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":915.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58951","description":"RESCJ PRIM PRTL MAL W/BSO  and  OMNTC TAH  and  LMPHAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":915.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69535","description":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1706.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1706.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69535","description":"RESCJ TEMPORAL BONE EXTERNAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1706.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1706.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32501","description":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32501","description":"RESCJ and BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61600","description":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1344.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1344.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61600","description":"RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1344.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1344.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61601","description":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1529.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1529.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61601","description":"RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1529.484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1529.484,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61616","description":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2090.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2090.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61616","description":"RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2090.572,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2090.572,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61615","description":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1776.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1776.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61615","description":"RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1776.621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1776.621,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61605","description":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1382.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1382.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61605","description":"RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1382.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1382.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61606","description":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1830.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1830.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61606","description":"RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1830.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1830.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61608","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2055.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61608","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2055.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2055.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61607","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1909.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1909.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61607","description":"RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1909.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1909.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48105","description":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1889.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1889.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2050.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2050.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2070.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2070.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2200.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2200.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2246.4109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2246.4109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2314.3484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2314.3484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2409.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2409.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2511.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2511.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2693.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2693.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48105","description":"RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1889.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1889.9565,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2050.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2050.4813,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2070.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2070.0876,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2200.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2200.8187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2246.4109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2246.4109,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2314.3484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2314.3484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2409.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2409.3739,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2511.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2511.3469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2693.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2693.983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28153","description":"RESECTION CONDYLE DISTAL END PHALANX EACH TOE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION ELBOW JOINT ARTHRECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24155","description":"RESECTION ELBOW JOINT ARTHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION ELBOW JOINT ARTHRECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24155","description":"RESECTION ELBOW JOINT ARTHRECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION EXTERNAL CARDIAC TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33130","description":"RESECTION EXTERNAL CARDIAC TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION EXTERNAL CARDIAC TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33130","description":"RESECTION EXTERNAL CARDIAC TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":838.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION HUMERAL HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23195","description":"RESECTION HUMERAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION HUMERAL HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23195","description":"RESECTION HUMERAL HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION MEDIASTINAL TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39220","description":"RESECTION MEDIASTINAL TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":707.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION MEDIASTINAL TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39220","description":"RESECTION MEDIASTINAL TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":707.069,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":707.069,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION OF MEDIASTINAL CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39200","description":"RESECTION OF MEDIASTINAL CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION OF MEDIASTINAL CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39200","description":"RESECTION OF MEDIASTINAL CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28126","description":"RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PERICARDIAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33050","description":"RESECTION PERICARDIAL CYST/TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION PERICARDIAL CYST/TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33050","description":"RESECTION PERICARDIAL CYST/TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32900","description":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":912.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32900","description":"RESECTION RIBS EXTRAPLEURAL ALL STAGES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":912.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/INCISION SUBVALVULAR TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33415","description":"RESECTION/INCISION SUBVALVULAR TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/INCISION SUBVALVULAR TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33415","description":"RESECTION/INCISION SUBVALVULAR TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23440","description":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23440","description":"RESECTION/TRANSPLANTATION LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.181,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1020","description":"RESIDUAL LIMB SUPPORT SYSTEM WHEELCHAIR ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.181,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.181,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0600","description":"RESP SUCTION PUMP HOME MODEL PRTBLE/STATION ELEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.903,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.903,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY FLOW VOLUME LOOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94375","description":"RESPIRATORY FLOW VOLUME LOOP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY FLOW VOLUME LOOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94375","description":"RESPIRATORY FLOW VOLUME LOOP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY MOTION MANAGEMENT SIMULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77293","description":"RESPIRATORY MOTION MANAGEMENT SIMULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RESPIRATORY MOTION MANAGEMENT SIMULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77293","description":"RESPIRATORY MOTION MANAGEMENT SIMULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":267.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":267.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.639,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1441.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.341,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1441.341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1441.341,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETICULATED PLATELET ASSAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85055","description":"RETICULATED PLATELET ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RETICULATED PLATELET ASSAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85055","description":"RETICULATED PLATELET ASSAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64595","description":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64595","description":"REV/RMV PRPH SAC/GSTRC NPG/RCV DTCH CONN ELTR RA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49426","description":"REVIS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVIS PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49426","description":"REVIS PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":425.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35883","description":"REVISION FEMORAL ANAST OPEN NONAUTOG GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35884","description":"REVISION FEMORAL ANAST OPEN W/AUTOG GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1002.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1002.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1058.2407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1058.2407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":839.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":839.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":909.3061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":909.3061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":921.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":921.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":960.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":960.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19380","description":"REVISION OF RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OF RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19380","description":"REVISION OF RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43848","description":"REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2218.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2218.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PERI-IMPLANT CAPSULE BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19370","description":"REVISION PERI-IMPLANT CAPSULE BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":435.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PERI-IMPLANT CAPSULE BREAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19370","description":"REVISION PERI-IMPLANT CAPSULE BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":435.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":435.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57426","description":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.2504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.2504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":565.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":565.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":610.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":610.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":714.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":714.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":770.7258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":770.7258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":832.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":832.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57426","description":"REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.2504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.2504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":565.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":565.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":610.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":610.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":714.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":714.3116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":770.7258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":770.7258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":832.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":832.4506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION RECONSTRUCTED BREAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19380","description":"REVISION RECONSTRUCTED BREAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69662","description":"REVISION STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69662","description":"REVISION STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION TRACHEOSTOMY SCAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31830","description":"REVISION TRACHEOSTOMY SCAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION TRACHEOSTOMY SCAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31830","description":"REVISION TRACHEOSTOMY SCAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":322.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":322.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64569","description":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":557.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":557.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":563.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":563.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":608.3306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":608.3306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":626.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":626.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":676.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":676.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":684.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":684.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":822.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":822.7978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64569","description":"REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":498.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":498.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":557.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":557.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":563.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":563.1058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":608.3306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":608.3306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":626.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":626.9683,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":676.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":676.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":684.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":684.3844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":755.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":755.2277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":822.7978,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":822.7978,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43882","description":"REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVISION/RMVL PERIPHERAL/GASTRIC NPGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64595","description":"REVISION/RMVL PERIPHERAL/GASTRIC NPGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25449","description":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25449","description":"REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44345","description":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":663.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44345","description":"REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":663.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44340","description":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44340","description":"REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44346","description":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44346","description":"REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":744.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":744.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35884","description":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1002.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1002.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1058.2407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1058.2407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":839.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":839.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":909.3061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":909.3061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":921.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":921.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":960.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":960.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35884","description":"REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1002.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1002.3944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1058.2407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1058.2407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":839.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":839.1976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":909.3061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":909.3061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":921.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":921.798,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":960.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":960.8103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35883","description":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35883","description":"REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":717.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43860","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1024.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43860","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1024.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43865","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1068.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43865","description":"REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1068.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1068.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44314","description":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44314","description":"REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44312","description":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44312","description":"REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36261","description":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36261","description":"REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63664","description":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63664","description":"REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63663","description":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1010.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1010.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1127.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1127.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":707.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":707.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.1671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.1671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":802.7238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":802.7238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":893.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":893.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":895.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":895.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":897.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":897.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":999.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":999.5219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63663","description":"REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1010.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1010.4774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1127.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1127.5142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":707.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":707.8653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.1671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.1671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":802.7238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":802.7238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":893.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":893.4407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":895.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":895.3445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":897.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":897.5824,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":999.5219,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":999.5219,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35879","description":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35879","description":"REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35881","description":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35881","description":"REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":617.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":617.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69601","description":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69601","description":"REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":653.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69602","description":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69602","description":"REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":698.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":698.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69603","description":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":831.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69603","description":"REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":831.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":831.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69604","description":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":714.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69604","description":"REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":714.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36832","description":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36832","description":"REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36833","description":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36833","description":"REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43848","description":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2218.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2218.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43848","description":"REVJ OPN GASTRIC RESTRICTIVE PX OTH/THN DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2218.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2218.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ RPLCMT DISC ARTHROPLASTY ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1337.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1337.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1500.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1500.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1564.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1564.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1631.9012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1631.9012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1757.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1757.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1908.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1908.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1968.7158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1968.7158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2211.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2211.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2400.0217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2400.0217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":491.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":491.2938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27137","description":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":934.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27137","description":"REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":934.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27134","description":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1208.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27134","description":"REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1208.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1208.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27138","description":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27138","description":"REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27487","description":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1116.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27487","description":"REVJ TOT KNEE ARTHRP FEM AND ENTIRE TIBIAL COMPONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1116.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1116.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27486","description":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":899.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27486","description":"REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":899.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":899.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37183","description":"REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3655.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3655.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37183","description":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3655.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3655.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37183","description":"REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3655.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3655.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50728","description":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50728","description":"REVJ UR-CUTAN ANAST RPR FSCAL DFCT  AND  HERNIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":446.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50727","description":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50727","description":"REVJ URINARY-CUTANEOUS ANASTAMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1337.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1337.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1500.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1500.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1564.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1564.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1631.9012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1631.9012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1757.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1757.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1908.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1908.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1968.7158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1968.7158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2211.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2211.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2400.0217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2400.0217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":491.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":491.2938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22861","description":"REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1337.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1337.9399,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1500.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1500.7024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1564.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1564.5984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1631.9012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1631.9012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1757.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1757.2213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1908.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1908.7278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1968.7158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1968.7158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2211.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2211.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2400.0217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2400.0217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":404.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":404.1175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":453.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":453.7846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":491.2938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":491.2938,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1417.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1417.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1595.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1595.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1595.3272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1595.3272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1735.2436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1735.2436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1792.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1792.3925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1949.7107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1949.7107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1980.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1980.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2222.0951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2222.0951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2419.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2419.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.7166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.7166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63688","description":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63688","description":"REVJ/RMVL IMPL SPI NPG/RCVR DTCH CONNJ ELTRD RA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63688","description":"REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61880","description":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61880","description":"REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61888","description":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61888","description":"REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":254.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":254.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64585","description":"REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64585","description":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64585","description":"REVJ/RMVL PERPH NEUROSTIMULATOR ELECTRODE ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":156.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":156.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57295","description":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57295","description":"REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95991","description":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95991","description":"RFL and MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.401,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.401,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.401,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86431","description":"RHEUMATOID FACTOR QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHEUMATOID FACTOR QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86431","description":"RHEUMATOID FACTOR QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.994,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30150","description":"RHINECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30150","description":"RHINECTOMY PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30160","description":"RHINECTOMY TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINECTOMY TOTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30160","description":"RHINECTOMY TOTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30462","description":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1024.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30462","description":"RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1024.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1024.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM W/COLUM LNGTH TIP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30460","description":"RHINP DFRM W/COLUM LNGTH TIP ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP DFRM W/COLUM LNGTH TIP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30460","description":"RHINP DFRM W/COLUM LNGTH TIP ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM COMPLETE XTRNL PARTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30410","description":"RHINP PRIM COMPLETE XTRNL PARTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":915.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM COMPLETE XTRNL PARTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30410","description":"RHINP PRIM COMPLETE XTRNL PARTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":915.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":915.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30400","description":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30400","description":"RHINP PRIM LAT and ALAR CRTLGS and /ELVTN NASAL TI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93042","description":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93042","description":"RHYTHM ECG 1-3 LEADS INTERPRETATION  AND  REPRT ON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93041","description":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93041","description":"RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I and R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93040","description":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93040","description":"RHYTHM ECG 1-3 LEADS W/INTERPRETATION  and  REPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J2787","description":"RIBOFLAVIN 5'-PHOSPHATE OPHTHALMIC SOL TO 3 ML","negotiated_rates":[{"provider_references":[210414],"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":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93451","description":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93451","description":"RIGHT HEART CATH O2 SATURATION  AND  CARDIAC OUTPUT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT VENTRICULAR RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93603","description":"RIGHT VENTRICULAR RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.946,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIGHT VENTRICULAR RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93603","description":"RIGHT VENTRICULAR RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.946,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35697","description":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35697","description":"RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24342","description":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24342","description":"RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.525,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":586.0522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":586.0522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":632.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":632.7132,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":650.1819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":650.1819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":680.3429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":680.3429,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":701.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":701.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":747.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":747.7125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":756.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":756.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":804.5609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":804.5609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":867.5216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":867.5216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50382","description":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50382","description":"RMVL  AND  RPLCMT INTLY DWELLING URETERAL STENT PRQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53448","description":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.727,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53448","description":"RMVL  AND  RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.727,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1013.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1013.7173,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":781.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":781.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":838.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":838.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":878.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":878.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":902.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":902.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":941.2374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":941.2374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT PENILE PROSTHESIS INFECTED FIELD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54417","description":"RMVL  AND  RPLCMT PENILE PROSTHESIS INFECTED FIELD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":781.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":781.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":838.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":838.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":902.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":902.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT PENILE PROSTHESIS INFECTED FIELD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54417","description":"RMVL  AND  RPLCMT PENILE PROSTHESIS INFECTED FIELD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":781.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":781.1134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":838.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":838.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":902.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":902.5925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50387","description":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50387","description":"RMVL  AND  RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53447","description":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53447","description":"RMVL  and  RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54416","description":"RMVL  and  RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.0509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.0509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":505.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":505.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":547.8416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":547.8416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":567.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":567.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":608.6312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":608.6312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":658.9664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":658.9664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL  and  RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54416","description":"RMVL  and  RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":470.0509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":470.0509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":505.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":505.7898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":547.8416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":547.8416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":567.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":567.5815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":608.6312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":608.6312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":658.9664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":658.9664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33243","description":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":846.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33243","description":"RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":846.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":846.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33974","description":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33974","description":"RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62142","description":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62142","description":"RMVL BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62256","description":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62256","description":"RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":395.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":395.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62258","description":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62258","description":"RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":706.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":706.453,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1224.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1224.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1372.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1372.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1417.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1417.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1493.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1493.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1595.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1595.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1735.2436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1735.2436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1772.7862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1772.7862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1989.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1989.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2164.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2164.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.7166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.7166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22865","description":"RMVL DISC ARTHROPLASTY ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1368.6687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1368.6687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1535.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1535.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1561.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1561.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1672.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1672.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1758.5574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1758.5574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1914.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1914.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1916.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1916.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2153.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2153.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2343.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2343.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":354.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":354.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":394.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":394.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.9344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.9344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41805","description":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41805","description":"RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41806","description":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41806","description":"RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40805","description":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40805","description":"RMVL EMBEDDED FB VESTIBULE MOUTH COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":188.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40804","description":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40804","description":"RMVL EMBEDDED FB VESTIBULE MOUTH SMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63746","description":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63746","description":"RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":396.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":396.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74235","description":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74235","description":"RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69205","description":"RMVL FB XTRNL AUDITORY CANAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69205","description":"RMVL FB XTRNL AUDITORY CANAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69200","description":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69200","description":"RMVL FB XTRNL AUDITORY CANAL W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45915","description":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45915","description":"RMVL FECAL IMPACTION/FB SPX UNDER ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30320","description":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30320","description":"RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20525","description":"RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27086","description":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27086","description":"RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24200","description":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24200","description":"RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27091","description":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1016.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27091","description":"RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1016.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1016.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33971","description":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33971","description":"RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33264","description":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33264","description":"RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":250.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33262","description":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33262","description":"RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":231.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33263","description":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33263","description":"RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":239.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":239.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"54406","description":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":503.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":503.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":539.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":539.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":582.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":582.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":650.1819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":650.1819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":701.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":701.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":756.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":756.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"54406","description":"RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":503.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":503.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":539.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":539.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":582.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":582.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":650.1819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":650.1819,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":701.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":701.7195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":756.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":756.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32491","description":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1086.4979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1086.4979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1087.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1087.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1171.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1171.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1189.3392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1189.3392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1267.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1267.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1282.7616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1282.7616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1385.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1385.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1491.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1491.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":990.1697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":990.1697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32491","description":"RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1086.4979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1086.4979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1087.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1087.7003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1171.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1171.6368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1189.3392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1189.3392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1267.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1267.8314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1282.7616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1282.7616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1385.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1385.2689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1491.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1491.3168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":990.1697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":990.1697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32484","description":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":881.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32484","description":"RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":881.21,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":881.21,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32482","description":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":975.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32482","description":"RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":975.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32480","description":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32480","description":"RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":910.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":910.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32488","description":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1461.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32488","description":"RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1461.427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1461.427,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32486","description":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1425.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32486","description":"RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1425.446,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1425.446,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32552","description":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32552","description":"RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":116.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50389","description":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50389","description":"RMVL NFROS TUBE REQ FLUORO GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49429","description":"RMVL PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PERITONEAL-VENOUS SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49429","description":"RMVL PERITONEAL-VENOUS SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62355","description":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62355","description":"RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33236","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33236","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM 1 LEAD SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":488.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":488.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33237","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33237","description":"RMVL PRM EPICAR PM AND ELTRDS THORCOM DUAL LEAD SY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":522.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":522.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33238","description":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33238","description":"RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":588.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":588.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11008","description":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11008","description":"RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27488","description":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27488","description":"RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19330","description":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19330","description":"RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.582,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11200","description":"RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO and INC 15","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63662","description":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":103.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":103.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":560.4337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":560.4337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":624.5634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":624.5634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":628.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":628.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":690.2964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":690.2964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":697.3106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":697.3106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":766.3502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":766.3502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":768.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":768.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":79.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":79.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":860.7412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":860.7412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":945.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":945.7465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63662","description":"RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":103.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":103.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":560.4337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":560.4337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":624.5634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":624.5634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":628.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":628.3043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":690.2964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":690.2964,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":697.3106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":697.3106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":766.3502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":766.3502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":768.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":768.6215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":79.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":79.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":860.7412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":860.7412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":945.7465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":945.7465,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63661","description":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":548.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":548.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":610.3346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":610.3346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":674.4644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":674.4644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":688.3257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":688.3257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":700.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":700.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":757.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":757.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":782.3159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":782.3159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":858.3697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":858.3697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63661","description":"RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":548.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":548.877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":610.3346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":610.3346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":674.4644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":674.4644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":688.3257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":688.3257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":700.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":700.3501,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":757.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":757.332,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":782.3159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":782.3159,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":858.3697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":858.3697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62365","description":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62365","description":"RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26392","description":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26392","description":"RMVL SYNTH ROD  and  INSJ FLXR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26416","description":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26416","description":"RMVL SYNTH ROD  and  INSJ XTNSR TDN GRF H/F EA ROD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46754","description":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46754","description":"RMVL THIERSCH WIRE/SUTURE ANAL CANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":228.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1224.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1224.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1372.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1372.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1417.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1417.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1493.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1493.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1595.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1595.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1735.2436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1735.2436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1772.7862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1772.7862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1989.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1989.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2164.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2164.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.7166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.7166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22864","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1224.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1224.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1372.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1372.443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1417.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1417.8682,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1493.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1493.4878,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1595.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1595.1268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1735.2436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1735.2436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1772.7862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1772.7862,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1989.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1989.6582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2164.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2164.1779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":370.7166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":370.7166,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":419.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":419.9495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":456.2229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22865","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1368.6687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1368.6687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1535.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1535.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1561.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1561.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1672.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1672.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1758.5574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1758.5574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1914.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1914.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1916.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1916.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2153.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2153.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2343.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2343.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":354.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":354.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":394.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":394.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.9344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.9344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22865","description":"RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1368.6687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1368.6687,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1535.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1535.8736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1561.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1561.9263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1672.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1672.8841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1758.5574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1758.5574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1914.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1914.6398,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1916.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1916.8443,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2153.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2153.0888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2343.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2343.5741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":354.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":354.918,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":394.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":394.5314,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.9344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.9344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48556","description":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48556","description":"RMVL TRANSPLANTED PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33234","description":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33234","description":"RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":300.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":300.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33235","description":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33235","description":"RMVL TRANSVNS PM ELTRD DUAL LEAD SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TRNSPLED RENAL ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50370","description":"RMVL TRNSPLED RENAL ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":774.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36590","description":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36590","description":"RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36589","description":"RMVL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36589","description":"RMVL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33980","description":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1077.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33980","description":"RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1077.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1077.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11983","description":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11983","description":"RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.364,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29710","description":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29710","description":"RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53442","description":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53442","description":"RMVL/REVJ SLING MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":502.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57287","description":"RMVL/REVJ SLING STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/REVJ SLING STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57287","description":"RMVL/REVJ SLING STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69711","description":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69711","description":"RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33244","description":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33244","description":"RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL EXPL X NECESSITATING OTH SPEC PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50010","description":"RNL EXPL X NECESSITATING OTH SPEC PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50576","description":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50576","description":"RNL NDSC NFROT FULGURATION  and /INCISION W/WO BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50572","description":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50572","description":"RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50575","description":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50575","description":"RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50580","description":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50580","description":"RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95851","description":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95851","description":"ROM MEAS and REPRT EA XTR EX HAND/EA TRNK SCTJ SPI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95852","description":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95852","description":"ROM MEAS and REPRT HAND W/WO COMPARISON NORMAL SID","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35700","description":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35700","description":"ROPRTJ  GT  1 MO AFTER ORIGINAL OPRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33530","description":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33530","description":"ROPRTJ CAB/VALVE PX  GT  1 MO AFTER ORIGINAL OPERJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":315.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35390","description":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35390","description":"ROPRTJ CRTD TEAEC  GT  1 MO AFTER ORIGINAL OPRATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OB CARE VAG DLVRY  AND  POSTPARTUM CARE VB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59610","description":"ROUTINE OB CARE VAG DLVRY  AND  POSTPARTUM CARE VB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2076.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2076.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2292.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2292.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2473.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2473.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OB CARE VAG DLVRY  AND  POSTPARTUM CARE VB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59610","description":"ROUTINE OB CARE VAG DLVRY  AND  POSTPARTUM CARE VB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2076.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2076.0663,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2292.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2292.8382,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2473.9045,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2473.9045,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59618","description":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2222.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2222.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2454.9327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2454.9327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2647.3887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2647.3887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59618","description":"ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":2222.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2222.7965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2454.9327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2454.9327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2647.3887,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2647.3887,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78800","description":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78800","description":"RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":151.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":151.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78801","description":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78801","description":"RP LOCLZJ TUM PLNR 2 Plus AREA 1 Plus D IMG/1 AREA IMG GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78804","description":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78804","description":"RP LOCLZJ TUM PLNR WHOLE BODY 2 PLUS  DAYS IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":351.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":351.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78802","description":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78802","description":"RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":183.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":183.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78803","description":"RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":225.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79403","description":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"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":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79403","description":"RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"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":"RP THERAPY INRACAVITARY ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79200","description":"RP THERAPY INRACAVITARY ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INRACAVITARY ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79200","description":"RP THERAPY INRACAVITARY ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79300","description":"RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79445","description":"RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79440","description":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79440","description":"RP THERAPY INTRA-ARTICULAR ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRAVENOUS ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79101","description":"RP THERAPY INTRAVENOUS ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY INTRAVENOUS ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79101","description":"RP THERAPY INTRAVENOUS ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY ORAL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"79005","description":"RP THERAPY ORAL ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RP THERAPY ORAL ADMINISTRATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"79005","description":"RP THERAPY ORAL ADMINISTRATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50840","description":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":778.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50840","description":"RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":778.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":778.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33411","description":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2037.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2037.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33411","description":"RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2037.321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2037.321,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33406","description":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1754.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1754.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33406","description":"RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1754.412,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1754.412,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33410","description":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1551.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1551.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33410","description":"RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1551.275,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1551.275,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62143","description":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62143","description":"RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.206,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.206,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36578","description":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36578","description":"RPLCMT CATH CTR VAD SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":266.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":266.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36580","description":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36580","description":"RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36585","description":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36585","description":"RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":859.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":859.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36583","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36583","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36582","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36582","description":"RPLCMT COMPL TUN CTR VAD W/SUBQ PORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36581","description":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36581","description":"RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":486.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":486.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63744","description":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63744","description":"RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69717","description":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69717","description":"RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33405","description":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1384.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33405","description":"RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1384.537,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1384.537,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33983","description":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1870.7844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1870.7844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2025.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2025.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2149.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2149.7821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33983","description":"RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1870.7844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1870.7844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2025.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2025.631,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2149.7821,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2149.7821,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33981","description":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":689.7954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":689.7954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":748.5476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":748.5476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":793.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":793.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33981","description":"RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":689.7954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":689.7954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":748.5476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":748.5476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":793.238,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":793.238,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62194","description":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62194","description":"RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62225","description":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62225","description":"RPLCMT/IRRIGATION VENTRICULAR CATHETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62230","description":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62230","description":"RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":536.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":536.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20816","description":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20816","description":"RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1304.754,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1304.754,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20822","description":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1131.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20822","description":"RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1131.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1131.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20824","description":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1307.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20824","description":"RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1307.636,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1307.636,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20827","description":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20827","description":"RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.864,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69717","description":"RPLMCT OSSEOINTEGRATE IMPLNT W/O MASTOIDECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":360.624,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":360.624,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99457","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99457","description":"RPM TX MGMT 1 R-T IA COMUNICAJ CAL MO 1ST 20 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26548","description":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26548","description":"RPR  AND  RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":523.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":523.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27409","description":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27409","description":"RPR 1 TORN LIGM and /CAPSL KNE COLTRL and CRUCIATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33218","description":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33218","description":"RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":242.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33619","description":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1679.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1679.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33619","description":"RPR 1 VNTRC W/O/F OBSTRCJ and AORTIC ARCH HYPOPLAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1679.986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1679.986,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49553","description":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49553","description":"RPR 1ST FEM HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49550","description":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49550","description":"RPR 1ST FEM HRNA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49507","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49507","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":374.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49505","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49505","description":"RPR 1ST INGUN HRNA AGE 5 YRS OR GT  REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49501","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49500","description":"RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49496","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO INCARCER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49495","description":"RPR 1ST INGUN HRNA FULL TERM INFT  LT 6 MO RDC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":606.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49492","description":"RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":606.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":606.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 1ST INGUN HRNA PRETERM INFT RDC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49491","description":"RPR 1ST INGUN HRNA PRETERM INFT RDC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":506.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33612","description":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1219.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1219.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33612","description":"RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1219.02,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1219.02,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33611","description":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33611","description":"RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33220","description":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33220","description":"RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":237.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35190","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35190","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35188","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35188","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35189","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":906.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35189","description":"RPR ACQUIRED/TRAUMATIC AV FISTULA THORAX and ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":906.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.708,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.019,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33507","description":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1048.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33507","description":"RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1048.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1048.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33505","description":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1248.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33505","description":"RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1248.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33506","description":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1246.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33506","description":"RPR ANOM CORONARY ART FROM PULM ART TO AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1246.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1246.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33504","description":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33504","description":"RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33502","description":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33502","description":"RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":790.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":790.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33503","description":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33503","description":"RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33647","description":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1107.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33647","description":"RPR ATRIAL  and  VENTRIC SEPTAL DFCT DIR/PATCH CLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1107.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1107.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33641","description":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1000.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33641","description":"RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1000.67,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1000.67,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35221","description":"RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35211","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":854.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35211","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":854.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":854.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35216","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1278.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35216","description":"RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1278.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1278.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL DIRECT LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35226","description":"RPR BLOOD VESSEL DIRECT LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":503.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":503.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35241","description":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":878.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35241","description":"RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":878.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":878.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35246","description":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":954.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35246","description":"RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":954.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35271","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35271","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":845.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":845.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35276","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35276","description":"RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35266","description":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35266","description":"RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35286","description":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35286","description":"RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35281","description":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":992.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35281","description":"RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":992.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":992.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33615","description":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1221.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1221.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33615","description":"RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1221.077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1221.077,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33610","description":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1089.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33610","description":"RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1089.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1089.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33608","description":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1104.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33608","description":"RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1104.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46748","description":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2636.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2636.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46748","description":"RPR CLOACAL ANOMALY CMBN ABDL  and  SACROPRNL W/GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2636.447,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2636.447,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46746","description":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2435.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2435.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46746","description":"RPR CLOACAL ANOMALY CMBN ABDL AND SACROPRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2435.785,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2435.785,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY SACROPERINEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46744","description":"RPR CLOACAL ANOMALY SACROPERINEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2214.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2214.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CLOACAL ANOMALY SACROPERINEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46744","description":"RPR CLOACAL ANOMALY SACROPERINEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2214.344,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2214.344,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26540","description":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26540","description":"RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPL AV CANAL W/WO PROSTC VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33670","description":"RPR COMPL AV CANAL W/WO PROSTC VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1194.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1194.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPL AV CANAL W/WO PROSTC VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33670","description":"RPR COMPL AV CANAL W/WO PROSTC VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1194.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1194.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33617","description":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1321.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1321.001,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33617","description":"RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1321.001,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1321.001,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":536.8527,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":573.4601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":616.781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":617.9835,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":667.8844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":683.5828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":735.5546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":791.4677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CONGENITAL AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35184","description":"RPR CONGENITAL AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CONGENITAL AV FISTULA THORAX  AND  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35182","description":"RPR CONGENITAL AV FISTULA THORAX  AND  ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1098.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1098.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33732","description":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33732","description":"RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33500","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":954.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33500","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":954.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":954.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33501","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33501","description":"RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":686.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":686.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36576","description":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36576","description":"RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39540","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39540","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":539.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":539.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39541","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39541","description":"RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27675","description":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27675","description":"RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63707","description":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63707","description":"RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":607.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":607.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63709","description":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":713.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63709","description":"RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":713.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62120","description":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62120","description":"RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27664","description":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27664","description":"RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":234.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":234.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27665","description":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27665","description":"RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27659","description":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27659","description":"RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR GRF-ENTERIC FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35870","description":"RPR GRF-ENTERIC FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":751.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR GRF-ENTERIC FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35870","description":"RPR GRF-ENTERIC FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":751.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":751.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46740","description":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1372.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46740","description":"RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1372.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1372.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46742","description":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1579.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1579.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46742","description":"RPR HI IMPRF ANUS W/FSTL TABDL  and  SACROPRNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1579.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1579.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46735","description":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1445.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46735","description":"RPR HI IMPRF ANUS W/O FISTULA CMBN APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1445.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1445.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46730","description":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1260.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1260.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46730","description":"RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1260.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1260.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33853","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1124.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33853","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1124.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33852","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33852","description":"RPR HYPOPLASTIC A-ARCH W/AUTOG/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33853","description":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1124.233,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1124.233,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33852","description":"RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":861.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":861.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46712","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1525.2187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1525.2187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1671.9489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1671.9489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1676.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1676.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1809.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1809.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1839.0536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1839.0536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1882.8087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1882.8087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1982.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1982.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2070.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2070.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2232.1487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2232.1487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46712","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1525.2187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1525.2187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1671.9489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1671.9489,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1676.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1676.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":177.459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1809.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1809.1263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1839.0536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1839.0536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1882.8087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1882.8087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":197.2657,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1982.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1982.6106,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2070.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2070.1544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":214.4672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2232.1487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2232.1487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46710","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1045.0474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1045.0474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1063.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1063.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1156.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1156.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":807.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":807.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":871.4963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":871.4963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":891.9042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":891.9042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":960.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":960.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":968.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":968.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":969.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":969.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46710","description":"RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1045.0474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1045.0474,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1063.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1063.7519,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1156.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1156.1722,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":807.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":807.3666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":871.4963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":871.4963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":891.9042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":891.9042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":960.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":960.9105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":968.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":968.9935,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":969.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":969.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33660","description":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1070.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33660","description":"RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1070.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1070.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INGUN HERNIA SLIDING ANY AGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49525","description":"RPR INGUN HERNIA SLIDING ANY AGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INGUN HERNIA SLIDING ANY AGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49525","description":"RPR INGUN HERNIA SLIDING ANY AGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12046","description":"RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":324.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":324.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33665","description":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1165.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33665","description":"RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1165.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1165.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41250","description":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41250","description":"RPR LAC 2.5 CM OR LT  MOUTH and /ANT TWO-THIRDS TONG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41251","description":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41251","description":"RPR LAC 2.5 CM OR LT  PST ONE-THIRD TONGUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41252","description":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41252","description":"RPR LAC TONGUE FLOOR MOUTH  GT  2.6 CM/CPLX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49606","description":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":713.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49606","description":"RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":713.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":713.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3047.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3047.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49605","description":"RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3047.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3047.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40654","description":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40654","description":"RPR LIP FTH OVER ONE-HALF VERT HEIGHT/COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THICKNESS HALF OR LT  VERTICAL HEIGHT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40652","description":"RPR LIP FULL THICKNESS HALF OR LT  VERTICAL HEIGHT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":341.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THICKNESS VERMILION ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40650","description":"RPR LIP FULL THICKNESS VERMILION ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":316.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LIP FULL THKNS  GT ONE-HALF VERT HEIGHT/COMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40654","description":"RPR LIP FULL THKNS  GT ONE-HALF VERT HEIGHT/COMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":384.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46715","description":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46715","description":"RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":357.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46716","description":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46716","description":"RPR LW IMPERFORATE ANUS W/TRPOS FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"39503","description":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3526.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3526.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"39503","description":"RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3526.303,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3526.303,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53449","description":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53449","description":"RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":391.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":391.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33496","description":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1018.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33496","description":"RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1018.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-UNION MTCRPL/PHALANX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26546","description":"RPR NON-UNION MTCRPL/PHALANX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON-UNION MTCRPL/PHALANX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26546","description":"RPR NON-UNION MTCRPL/PHALANX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":683.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":683.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27472","description":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":811.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27472","description":"RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":811.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":811.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27470","description":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":759.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27470","description":"RPR NON/MAL FEMUR DSTL H/N W/O GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":759.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":759.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27725","description":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27725","description":"RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27724","description":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27724","description":"RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28322","description":"RPR NON/MALUNION METARSAL W/WO BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL B1 W/WO RDL STYLODC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25440","description":"RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25420","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":750.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25420","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":750.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25415","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25415","description":"RPR NONUNION/MALUNION RADIUS and ULNA W/O AUTOGRAF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":625.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":625.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25405","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25405","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25400","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25400","description":"RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49610","description":"RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49611","description":"RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33926","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1465.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33926","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1465.948,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.948,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33925","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33925","description":"RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1045.286,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43337","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1059.6436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1059.6436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1152.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1152.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1172.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1172.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1235.8667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1235.8667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1281.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1281.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1319.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1319.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1443.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1443.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1547.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1547.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43337","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1059.6436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1059.6436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1152.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1152.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1172.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1172.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1235.8667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1235.8667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1281.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1281.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1319.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1319.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1443.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1443.1861,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1547.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1547.7643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43336","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1085.1618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1085.1618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1165.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1165.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1206.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1206.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1314.9266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1314.9266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1409.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1409.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.8418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.8418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43336","description":"RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1085.1618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1085.1618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1165.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1165.7248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1206.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1206.3737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1314.9266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1314.9266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1409.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1409.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.8418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.8418,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43332","description":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":779.3098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":779.3098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":855.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":855.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":922.0986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":922.0986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43332","description":"RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":779.3098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":779.3098,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":855.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":855.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":922.0986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":922.0986,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43335","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1083.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1083.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1159.8129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1159.8129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":995.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":995.5138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43335","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1083.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1083.8258,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1159.8129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1159.8129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":995.5138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":995.5138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43334","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1059.6436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1059.6436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1152.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1152.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1235.8667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1235.8667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":815.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":815.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":887.8961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":887.8961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":951.2576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":951.2576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43334","description":"RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1016.1556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1059.6436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1059.6436,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1089.671,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1152.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1152.8321,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1235.8667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1235.8667,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":815.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":815.3828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":887.8961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":887.8961,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":928.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":951.2576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":951.2576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV 18 YR  AND  OLDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33824","description":"RPR PATENT DUXUS ARTERIOSUS DIV 18 YR  AND  OLDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33822","description":"RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33545","description":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1859.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33545","description":"RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1859.473,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1859.473,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27696","description":"RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":356.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":356.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27695","description":"RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":318.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27652","description":"RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":431.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":431.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27405","description":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27405","description":"RPR PRIMARY TORN LIGM and /CAPSULE KNEE COLLATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33917","description":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33917","description":"RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":898.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33920","description":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1104.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33920","description":"RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1104.499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1104.499,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49555","description":"RPR RECRT FEM HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HERNIA REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49555","description":"RPR RECRT FEM HERNIA REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":385.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":385.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HRNA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49557","description":"RPR RECRT FEM HRNA INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT FEM HRNA INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49557","description":"RPR RECRT FEM HRNA INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49520","description":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49520","description":"RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49521","description":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49521","description":"RPR RECRT INGUN HERNIA ANY AGE INCARCERATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38115","description":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":807.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38115","description":"RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":807.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":807.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA ANEURYSM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33720","description":"RPR SINUS VALSALVA ANEURYSM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":951.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA ANEURYSM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33720","description":"RPR SINUS VALSALVA ANEURYSM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":951.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":951.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33702","description":"RPR SINUS VALSALVA FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":950.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33702","description":"RPR SINUS VALSALVA FISTULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":950.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":950.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33710","description":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1248.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33710","description":"RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1248.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1248.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":466.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49600","description":"RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":466.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":466.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38780","description":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38780","description":"RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC and RNL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28200","description":"RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":321.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":321.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25263","description":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25263","description":"RPR TDN/MUSC FLXR F/ARM and /WRIST SEC 1 EA TDN/MUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25265","description":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25265","description":"RPR TDN/MUSC FLXR F/ARM and /WRISTSEC FR GRF EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25260","description":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25260","description":"RPR TDN/MUSC FLXR F/ARM and /WRST PRIM 1 EA TDN/MU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":419.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":419.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25270","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25270","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST PRIM 1 EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":327.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":327.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25272","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25272","description":"RPR TDN/MUSC XTNSR F/ARM and /WRIST SEC 1 EA TDN/MU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":368.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":368.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25274","description":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25274","description":"RPR TDN/MUSC XTNSR F/ARM and /WRST SEC FR GRF EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28202","description":"RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":390.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":390.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25275","description":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25275","description":"RPR TENDON SHEATH EXTENSOR F/ARM and /WRIST W/GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":441.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":441.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28210","description":"RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33781","description":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1398.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33781","description":"RPR TGA AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1398.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33780","description":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1436.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33780","description":"RPR TGA AORTIC PULM ART RCNSTJ W/CLOSURE VSD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1436.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33779","description":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1408.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33779","description":"RPR TGA AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1408.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33778","description":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1432.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33778","description":"RPR TGA AORTIC PULMONARY ARTERY RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1432.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33777","description":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1154.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33777","description":"RPR TGA ATR BAFFLE PX CARD BYP RPR SBPULM OBSTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1154.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33775","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33775","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP RMVL PULM BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33776","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1202.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33776","description":"RPR TGA ATRIAL BAFFLE PX CARD BYP W/CLOSURE VSD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1202.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33774","description":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1105.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33774","description":"RPR TGA ATRIAL BAFFLE PX W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1105.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33770","description":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1284.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33770","description":"RPR TGA W/VSD and SUBPULM STEN W/O SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1284.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33771","description":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1318.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1318.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33771","description":"RPR TGA W/VSD and SUBPULM STEN W/SURG ENLGMNT VSD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1318.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1318.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33781","description":"RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1398.716,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1398.716,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33780","description":"RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1436.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1436.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33779","description":"RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1408.176,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1408.176,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33877","description":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2175.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2175.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33877","description":"RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2175.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2175.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33775","description":"RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1136.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33774","description":"RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1105.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1105.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33771","description":"RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1318.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1318.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33770","description":"RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1284.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1284.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33778","description":"RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1432.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1432.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33777","description":"RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1154.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1154.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33776","description":"RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1202.366,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1202.366,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36575","description":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36575","description":"RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33414","description":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1306.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33414","description":"RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1306.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1306.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26428","description":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26428","description":"RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":521.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":521.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26426","description":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26426","description":"RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26352","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26352","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26350","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26350","description":"RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26358","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":641.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26358","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":641.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":641.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26356","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26357","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26356","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":524.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26357","description":"RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26370","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26370","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":513.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26372","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":595.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26372","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":595.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":595.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26373","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26373","description":"RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA EXTREMITIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35190","description":"RPR/TRAUMATIC AV FISTULA EXTREMITIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA HEAD  and  NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35188","description":"RPR/TRAUMATIC AV FISTULA HEAD  and  NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":812.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPR/TRAUMATIC AV FISTULA THORAX  and  ABDOMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35189","description":"RPR/TRAUMATIC AV FISTULA THORAX  and  ABDOMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":906.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":906.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33226","description":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33226","description":"RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33215","description":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33215","description":"RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36597","description":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36597","description":"RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.985,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.48,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.48,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37193","description":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":943.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37193","description":"RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":943.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9555","description":"RUBIDIUM RB-82 DX PER STUDY DOSE UP TO 60 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENOM TIME DILUTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85613","description":"RUSSELL VIPER VENOM TIME DILUTED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENOM TIME DILUTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85613","description":"RUSSELL VIPER VENOM TIME DILUTED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENON TIME UNDILUTED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85612","description":"RUSSELL VIPER VENON TIME UNDILUTED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RUSSELL VIPER VENON TIME UNDILUTED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85612","description":"RUSSELL VIPER VENON TIME UNDILUTED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.897,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":160.897,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":160.897,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.35,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.35,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.19,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEAL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92315","description":"RX CONTACT CORNEAL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEAL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92316","description":"RX CONTACT CORNEAL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX CONTACT CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92317","description":"RX CONTACT CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92607","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92607","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV 1ST HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92608","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92608","description":"RX SP-GENRATJ AUGMNT AND COMUNICAJ DEV EA 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92315","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92315","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA 1 EYE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92316","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92316","description":"RX and FITG C-LENS TECH CRNL LENS APHAKIA BOTH EYES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.19,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.19,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92317","description":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92317","description":"RX and FITG CONTACT LENS TECH CORNEOSCLERAL LENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95954","description":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95954","description":"RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":184.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":184.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":253.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":253.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair lumbar hernia","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49540","description":"Repair lumbar hernia","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Replace high roll cuff","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4060","description":"Replace high roll cuff","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.867,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Replace pretibial shell","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4130","description":"Replace pretibial shell","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.452,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Reptilase test","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85635","description":"Reptilase test","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.668,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Respiratory flow volume loop","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94375","description":"Respiratory flow volume loop","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Right ventricular recording","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93603","description":"Right ventricular recording","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.946,"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.498,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0621","description":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0621","description":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.807,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.807,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0700","description":"SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.214,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.214,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY VEST WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0980","description":"SAFETY VEST WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAFETY VEST WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0980","description":"SAFETY VEST WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALES TAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9999","description":"SALES TAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76831","description":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76831","description":"SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND FUNCTION STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78232","description":"SALIVARY GLAND FUNCTION STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND FUNCTION STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78232","description":"SALIVARY GLAND FUNCTION STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78230","description":"SALIVARY GLAND IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"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":"SALIVARY GLAND IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78230","description":"SALIVARY GLAND IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"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":"SALIVARY GLAND IMAGING SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78231","description":"SALIVARY GLAND IMAGING SERIAL IMAGES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALIVARY GLAND IMAGING SERIAL IMAGES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78231","description":"SALIVARY GLAND IMAGING SERIAL IMAGES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58700","description":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58700","description":"SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58720","description":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58720","description":"SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58770","description":"SALPINGOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SALPINGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58770","description":"SALPINGOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9604","description":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9604","description":"SAMARIUM SM-153 LEXIDRONAM TX DOSE TO 150 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34530","description":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34530","description":"SAPHENOPOPLITEAL VEIN ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.141,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.207,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"91318","description":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.105,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91318","description":"SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.105,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.105,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":161.766,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.815,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":177.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":177.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99233","description":"SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99231","description":"SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99480","description":"SBSQ INTENSIVE CARE INFANT PBW 2,501-5,000 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99479","description":"SBSQ INTENSIVE CARE LBW INFANT 1,500-2,500 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99478","description":"SBSQ INTENSIVE CARE VLBW INFANT LT 1,500 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":97.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99309","description":"SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99307","description":"SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99307","description":"SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99493","description":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99493","description":"SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87184","description":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87184","description":"SC STD ANTIMICROBIAL AGT DISK METHOD PER PLATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87181","description":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87181","description":"SC STD ANTMCRB AGT AGAR DILUTION METHOD PER AGT","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87185","description":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87185","description":"SC STD ANTMCRB AGT ENZYME DETCJ PER ENZYME","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87188","description":"SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87186","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87186","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR DILUTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87187","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87187","description":"SC STD ANTMCRB AGT MICRODILUTION/AGAR MLC EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87190","description":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87190","description":"SC STD ANTMCRB AGT MYOBACTERIA PROPORTION METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.529,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCAPULOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23400","description":"SCAPULOPEXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":628.529,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":628.529,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2188.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2188.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCLERAL COVER SHELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2627","description":"SCLERAL COVER SHELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2188.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2188.89,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH CERV/VAG THIN LAY 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"G0141","description":"SCR CYTOPATH SMER CERV/VAG MNL RSCR INTEPR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR CYTOPATH 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR PAP SMEAR UP TO 3 SMEARS TECH UND PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P3000","description":"SCR PAP SMEAR UP TO 3 SMEARS TECH UND PHYS SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR PAP SMEAR UP TO 3 SMEARS TECH UND PHYS SUPV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P3000","description":"SCR PAP SMEAR UP TO 3 SMEARS TECH UND PHYS SUPV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"P3001","description":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P3001","description":"SCR PAP SMER CERV/VAG TO 3 SMERS RQR INTEPR PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77067","description":"SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST PURE TONE AIR ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SCREENING TEST PURE TONE AIR ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92551","description":"SCREENING TEST PURE TONE AIR ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.266,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT ATTACHMENT WALKER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0156","description":"SEAT ATTACHMENT WALKER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT ATTACHMENT WALKER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0156","description":"SEAT ATTACHMENT WALKER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.516,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2294","description":"SEAT CONTOURED PED WC INCL FIX ATTCH HARDWARE","negotiated_rates":[{"provider_references":[210414],"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":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0056","description":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0056","description":"SEAT HT LT 17/ Equal to TO OR GT 21 IN LTWT/ULTRALTWT WHLC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.165,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.165,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2292","description":"SEAT PLANAR PED SZ WC INCL FIX ATTCHING HARDWARE","negotiated_rates":[{"provider_references":[210414],"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":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49900","description":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49900","description":"SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37186","description":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37186","description":"SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":745.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61619","description":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.035,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61619","description":"SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":904.035,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":904.035,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.126,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.126,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.126,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.411,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61618","description":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61618","description":"SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85652","description":"SEDIMENTATION RATE RBC AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85652","description":"SEDIMENTATION RATE RBC AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85651","description":"SEDIMENTATION RATE RBC NON-AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEDIMENTATION RATE RBC NON-AUTOMATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85651","description":"SEDIMENTATION RATE RBC NON-AUTOMATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALYSIS SPERM PRESENCE and /MOTILITY SPRM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89321","description":"SEMEN ANALYSIS SPERM PRESENCE and /MOTILITY SPRM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEMEN ANALYSIS SPERM PRESENCE and /MOTILITY SPRM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89321","description":"SEMEN ANALYSIS SPERM PRESENCE and /MOTILITY SPRM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.734,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97533","description":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97533","description":"SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30620","description":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30620","description":"SEPTAL/OTHER INTRANASAL DERMATOPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30520","description":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30520","description":"SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":436.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":436.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23170","description":"SEQUESTRECTOMY CLAVICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY CLAVICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23170","description":"SEQUESTRECTOMY CLAVICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25145","description":"SEQUESTRECTOMY FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY FOREARM  and /WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25145","description":"SEQUESTRECTOMY FOREARM  and /WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":344.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":344.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23174","description":"SEQUESTRECTOMY HUMERAL HEAD TO SURGICAL NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24138","description":"SEQUESTRECTOMY OLECRANON PROCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY OLECRANON PROCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24138","description":"SEQUESTRECTOMY OLECRANON PROCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY RADIAL HEAD OR NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24136","description":"SEQUESTRECTOMY RADIAL HEAD OR NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY RADIAL HEAD OR NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24136","description":"SEQUESTRECTOMY RADIAL HEAD OR NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":414.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":414.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SCAPULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23172","description":"SEQUESTRECTOMY SCAPULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SCAPULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23172","description":"SEQUESTRECTOMY SCAPULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24134","description":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24134","description":"SEQUESTRECTOMY SHAFT/DISTAL HUMERUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":487.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":487.894,"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":[210414],"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":"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":[210414],"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":"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":[210414],"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":"SERUM BACTERICIDAL TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87197","description":"SERUM BACTERICIDAL TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM BACTERICIDAL TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87197","description":"SERUM BACTERICIDAL TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.222,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING  PCT  REACTIVE ANTIBODY QUICK METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86808","description":"SERUM SCREENING  PCT  REACTIVE ANTIBODY QUICK METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING  PCT  REACTIVE ANTIBODY QUICK METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86808","description":"SERUM SCREENING  PCT  REACTIVE ANTIBODY QUICK METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING  PCT  REACTIVE ANTIBODY STANDRD METH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86807","description":"SERUM SCREENING  PCT  REACTIVE ANTIBODY STANDRD METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERUM SCREENING  PCT  REACTIVE ANTIBODY STANDRD METH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86807","description":"SERUM SCREENING  PCT  REACTIVE ANTIBODY STANDRD METH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":50.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99053","description":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99053","description":"SERVICES PROVIDED BTW 10 PM AND 8 AM AT 24-HR FACI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY FIRST TOE SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28315","description":"SESAMOIDECTOMY FIRST TOE SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26185","description":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26185","description":"SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":371.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SET-UP PORTABLE X-RAY EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0092","description":"SET-UP PORTABLE X-RAY EQUIPMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SET-UP PORTABLE X-RAY EQUIPMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0092","description":"SET-UP PORTABLE X-RAY EQUIPMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3960","description":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3960","description":"SEWHO ABDUCT PSTN AIRPLANE DESN PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":768.229,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":768.229,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3962","description":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":830.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3962","description":"SEWHO ABDUCT PSTN ERBS PALS DESN PRFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":830.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":830.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEX CHROMATIN IDENTIFICATION BARR BODIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88130","description":"SEX CHROMATIN IDENTIFICATION BARR BODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEX CHROMATIN IDENTIFICATION BARR BODIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88130","description":"SEX CHROMATIN IDENTIFICATION BARR BODIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88140","description":"SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88140","description":"SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45335","description":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45335","description":"SGMDSC FLX DIRED SBMCSL NJX ANY SBST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45338","description":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45338","description":"SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45337","description":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45337","description":"SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11313","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11310","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11310","description":"SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11308","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11305","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11306","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11307","description":"SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11300","description":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11300","description":"SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6300","description":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4703.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4703.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6300","description":"SHLDR DISARTIC MOLD SOCKET INTRL LOCK ELB FORARM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4703.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4703.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6960","description":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13165.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13165.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6960","description":"SHLDR DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13165.592,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13165.592,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6550","description":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4812.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4812.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6550","description":"SHLDR DISRTC MOLD SCKT ENDOSKEL W/SFT PROS TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4812.786,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4812.786,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1015","description":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1015","description":"SHOCK ABSORBER FOR MANUAL WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1016","description":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1016","description":"SHOCK ABSORBER FOR POWER WHEELCHAIR EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":133.353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":133.353,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95926","description":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95926","description":"SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95927","description":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95927","description":"SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95938","description":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.8826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.8826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95938","description":"SHORT-LATENCY SOMATOSENS EP STD UPR  AND  LOW LIMB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.418,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.8826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.8826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":420.7177,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":485.8829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95925","description":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95925","description":"SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26477","description":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26477","description":"SHORTENING TENDON EXTENSOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26479","description":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26479","description":"SHORTENING TENDON FLEXOR HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":443.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6320","description":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1729.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1729.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6320","description":"SHOULDER DISART PASSIVE REST SHOULDER CAP ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1729.651,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1729.651,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6310","description":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3903.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3903.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6310","description":"SHOULDER DISARTIC PASSIVE REST COMPLETE PROSTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3903.911,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3903.911,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3674","description":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1066.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1066.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3674","description":"SHOULDER ORTHOSIS ABDUCT PSTN THOR COMP CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1066.802,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1066.802,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3670","description":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3670","description":"SHOULDER ORTHOSIS ACROMIO/CLAVICULAR PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":109.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":109.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3650","description":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3650","description":"SHOULDER ORTHOSIS FIG 8 ABDUCT RESTRAINER PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.975,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.975,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3660","description":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3660","description":"SHOULDER ORTHOSIS FIG 8 CANVAS WEBBING PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.546,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33755","description":"SHUNT ASCENDING AORTA PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33755","description":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33755","description":"SHUNT ASCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT CENTRAL W/PROSTHETIC GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33764","description":"SHUNT CENTRAL W/PROSTHETIC GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT CENTRAL W/PROSTHETIC GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33764","description":"SHUNT CENTRAL W/PROSTHETIC GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":814.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33762","description":"SHUNT DESCENDING AORTA PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33762","description":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33762","description":"SHUNT DESCENDING AORTA TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33750","description":"SHUNT SUBCLAVIAN PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":774.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33750","description":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":774.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33750","description":"SHUNT SUBCLAVIAN TO PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":774.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":774.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33767","description":"SHUNT SUPERIOR VENA CAVA TO PULM ARTERY BTH LNGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":870.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33766","description":"SHUNT SUPERIOR VENA CAVA TO PULMONARY ART 1 LUNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":816.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":816.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75809","description":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75809","description":"SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11311","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11311","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11312","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11312","description":"SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11303","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11303","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM  GT 2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11301","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11301","description":"SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11302","description":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11302","description":"SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70390","description":"SIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70390","description":"SIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42340","description":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42340","description":"SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42335","description":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42335","description":"SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42330","description":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42330","description":"SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":152.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SICKLING RBC REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85660","description":"SICKLING RBC REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SICKLING RBC REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85660","description":"SICKLING RBC REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.528,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.851,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.851,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45334","description":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45334","description":"SIGMOIDOSCOPY FLX CONTROL BLEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":314.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":314.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45330","description":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45330","description":"SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX NDSC US XM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45341","description":"SIGMOIDOSCOPY FLX NDSC US XM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX NDSC US XM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45341","description":"SIGMOIDOSCOPY FLX NDSC US XM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45340","description":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45340","description":"SIGMOIDOSCOPY FLX TNDSC BALO DILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45342","description":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45342","description":"SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45331","description":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45331","description":"SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45332","description":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45332","description":"SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45333","description":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45333","description":"SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":211.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":211.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93278","description":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93278","description":"SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE CYSTOMETROGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51725","description":"SIMPLE CYSTOMETROGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE CYSTOMETROGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51725","description":"SIMPLE CYSTOMETROGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61700","description":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2133.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2133.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61700","description":"SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2133.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2133.956,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61702","description":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2510.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2510.618,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61702","description":"SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2510.618,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2510.618,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.118,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.787,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.46,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.46,"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":[210414],"negotiated_prices":[{"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":"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":[210414],"negotiated_prices":[{"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.498,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.498,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12007","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK  GT 30.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":146.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12001","description":"SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12004","description":"SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51736","description":"SIMPLE UROFLOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIMPLE UROFLOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51736","description":"SIMPLE UROFLOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L5341","description":"SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6487.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6487.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINGLE AXIS KNEE SACH FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L5341","description":"SINGLE AXIS KNEE SACH FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6487.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6487.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92546","description":"SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31086","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31086","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31087","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31087","description":"SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31081","description":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":752.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31081","description":"SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":752.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31084","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":777.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31084","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":777.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31085","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31085","description":"SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":801.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":801.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31032","description":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31032","description":"SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":387.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":387.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31051","description":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31051","description":"SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31090","description":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":716.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31090","description":"SINUSOT UNI 3 OR GT  PARANSL SINUSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":716.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":716.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31080","description":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":703.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31080","description":"SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":703.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":703.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31070","description":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31070","description":"SINUSOTOMY FRONTAL EXTERNAL SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31075","description":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31075","description":"SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":535.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":535.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31020","description":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31020","description":"SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":279.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":279.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31030","description":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31030","description":"SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY SPHENOID W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31050","description":"SINUSOTOMY SPHENOID W/WO BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SINUSOTOMY SPHENOID W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31050","description":"SINUSOTOMY SPHENOID W/WO BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.369,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIROLIMUS ORAL 1 MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7520","description":"SIROLIMUS ORAL 1 MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.397,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIX VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7360","description":"SIX VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SIX VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7360","description":"SIX VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4362","description":"SKIN BARRIER; SOLID 4 FOUR OR EQUIVALENT; EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.778,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2623","description":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2623","description":"SKIN PROTCT WC SEAT CUSH WIDTH 22 IN OR GT  ANY DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.318,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.318,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2624","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2624","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH  LT  22 IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":339.372,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":339.372,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2625","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2625","description":"SKIN PROTECT  and  POSITIONING WC CUSH WIDTH 22 IN OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2622","description":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2622","description":"SKIN PROTECT WC SEAT CUSH WIDTH  LT 22 IN ANY DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6250","description":"SKIN SEALNT PROTECT MOISTURIZER OINTMNT TYPE SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST CANDIDA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86485","description":"SKIN TEST CANDIDA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST CANDIDA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86485","description":"SKIN TEST CANDIDA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST HISTOPLASMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86510","description":"SKIN TEST HISTOPLASMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST HISTOPLASMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86510","description":"SKIN TEST HISTOPLASMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST TUBERCULOSIS INTRADERMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86580","description":"SKIN TEST TUBERCULOSIS INTRADERMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST UNLISTED ANTIGEN EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86486","description":"SKIN TEST UNLISTED ANTIGEN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKIN TEST UNLISTED ANTIGEN EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86486","description":"SKIN TEST UNLISTED ANTIGEN EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2608","description":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2608","description":"SKN PROTCT and PSTN WC SEAT CUSHN WDTH 22 IN/GT DPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.485,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2607","description":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2607","description":"SKN PROTECT and PSTN WC SEAT CUSHN WDTH  LT 22 IN DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2604","description":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2604","description":"SKN PROTECTION WC SEAT CUSHN WDTH 22 IN/GT DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.334,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2603","description":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2603","description":"SKN PROTECTION WC SEAT CUSHN WIDTH  LT  22 IN DEPTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.923,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36252","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36252","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S and I BIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36251","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1135.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1135.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1284.8992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1284.8992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1473.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1473.1133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36251","description":"SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S and I UN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1135.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1135.3968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1284.8992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1284.8992,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1473.1133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1473.1133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36015","description":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36015","description":"SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":530.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36011","description":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36011","description":"SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36012","description":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36012","description":"SLCTV CATH PLMT VEN SYS 2ND ORDER OR GT  SLCTV BRANC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36014","description":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36014","description":"SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":494.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":494.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36216","description":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":675.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36216","description":"SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":675.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":675.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36246","description":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36246","description":"SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36247","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36247","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV ABDL PEL/LXTR BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36217","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1187.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36217","description":"SLCTV CATHJ 3RD Plus  ORD SLCTV THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1187.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1187.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36245","description":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":781.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36245","description":"SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":781.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":781.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36215","description":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36215","description":"SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36248","description":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36248","description":"SLCTV CATHJ EA 2ND Plus  ORD ABDL PEL/LXTR ART BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36218","description":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36218","description":"SLCTV CATHJ EA 2ND Plus  ORD THRC/BRCH/CPHLC BRNCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":134.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95806","description":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95806","description":"SLEEP STD AIRFLOW HRT RATE AND O2 SAT EFFORT UNATT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.8826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.8826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.1468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.1468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":455.8889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":455.8889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":526.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":526.8658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95807","description":"SLEEP STD REC VNTJ RESPIR ECG/HRT RATE and O2 ATTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":338.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":338.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":386.8826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":386.8826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":402.1468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":402.1468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":450.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":450.8119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":455.8889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":455.8889,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":526.8658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":526.8658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPERATION STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57288","description":"SLING OPERATION STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPERATION STRESS INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57288","description":"SLING OPERATION STRESS INCONTINENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53440","description":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53440","description":"SLING OPRATION CORRJ MALE URINARY INCONTINENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":478.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":478.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0621","description":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0621","description":"SLING OR SEAT PATIENT LIFT CANVAS OR NYLON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLINGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4565","description":"SLINGS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95800","description":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95800","description":"SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":105.5134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":92.1865,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95801","description":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95801","description":"SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7004","description":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7004","description":"SMALL VOLUME NONFILTR PNEUMATIC NEBULIZER DISPBL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81329","description":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81329","description":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81336","description":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81336","description":"SMN1 GENE ANALYSIS FULL GENE SEQUENCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.864,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":265.188,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12002","description":"SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12005","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12006","description":"SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87209","description":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87209","description":"SMR PRIM SRC CPLX SPEC STAIN OVA AND PARASITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87206","description":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87206","description":"SMR PRIM SRC FLUORESCENT and /AFS BCT FNGI PARASIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.741,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87207","description":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87207","description":"SMR PRIM SRC SPEC STAIN BODIES/PARASITS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.832,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.224,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC WET MOUNT NFCT AGT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87210","description":"SMR PRIM SRC WET MOUNT NFCT AGT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SMR PRIM SRC WET MOUNT NFCT AGT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87210","description":"SMR PRIM SRC WET MOUNT NFCT AGT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81459","description":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1913.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2630.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2630.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81459","description":"SO NEO GSAP DNA ALYS/DNA and RNA CPY NMBR MCRSTL INS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1913.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1913.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2630.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2630.804,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9563","description":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9563","description":"SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM SERUM PLASMA OR WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84295","description":"SODIUM SERUM PLASMA OR WHOLE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SODIUM SERUM PLASMA OR WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84295","description":"SODIUM SERUM PLASMA OR WHOLE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A8004","description":"SOFT INTERFACE FOR HELMET REPLACEMENT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLE WEDGE OUTSIDE SOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3360","description":"SOLE WEDGE OUTSIDE SOLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLE WEDGE OUTSIDE SOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3360","description":"SOLE WEDGE OUTSIDE SOLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.451,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.451,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN NEOPLASM GSAP 5-50 DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81445","description":"SOLID ORGAN NEOPLASM GSAP 5-50 DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SOLID ORGAN NEOPLASM GSAP 5-50 DNA/DNA and RNA ALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81445","description":"SOLID ORGAN NEOPLASM GSAP 5-50 DNA/DNA and RNA ALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":382.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":382.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.163,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.163,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4627","description":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4627","description":"SPACR BAG/RESRVOR W/WO MASK W/METRD DOSE INHAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2502","description":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1837.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1837.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2502","description":"SPCH GEN DEVC DIGTIZD GT 8 MINS  LT or equal to  20 MINS R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1837.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1837.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2510","description":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10402.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10402.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2510","description":"SPCH GEN DEVC SYNTHESIZD MX METH MESS AND DEVC ACCSS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10402.216,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10402.216,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2508","description":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5496.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5496.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2508","description":"SPCH GEN DEVC SYNTHSIZD REQ MESS SPELL  AND  CNTCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5496.931,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5496.931,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88313","description":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88313","description":"SPCL STN 2 I and R EXCPT MICROORG/ENZYME/IMCYT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.403,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.828,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6256","description":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6256","description":"SPCLTY ABSORB DRESS STERL  GT  48 SQ ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6255","description":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6255","description":"SPCLTY ABSORB DRESS STERL  GT 16  LT or equal to  48 SQ W/","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6253","description":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6253","description":"SPCLTY ABSORB DRESS STERL  GT 48 SQ NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6254","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT  ADHES BORDR EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6251","description":"SPCLTY ABSORB DRESS STERL 16 SQ OR LT NO ADHES BORDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77331","description":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77331","description":"SPEC DOSIM ONLY PRESCRIBED TREATING PHYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77370","description":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77370","description":"SPEC MEDICAL RADJ PHYSICS CONSLTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99080","description":"SPEC REPORTS  GT  USUAL MED COMUNICAJ/STAND RPRTG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77321","description":"SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1228","description":"SPECIAL BACK HEIGHT FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL CASTING MATERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4590","description":"SPECIAL CASTING MATERIAL","negotiated_rates":[{"provider_references":[210414],"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":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1227","description":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1227","description":"SPECIAL HEIGHT ARMS FOR WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88312","description":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88312","description":"SPECIAL STAIN GROUP 1 MICROORGANISMS I AND R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88319","description":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88319","description":"SPECIAL STAIN I AND R GROUP III ENZYME CONSITUENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88314","description":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88314","description":"SPECIAL STAIN I and R HISTOCHEMICAL W/FROZEN TISSU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.448,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.968,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.968,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL TREATMENT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77470","description":"SPECIAL TREATMENT PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL TREATMENT PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77470","description":"SPECIAL TREATMENT PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1297","description":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1297","description":"SPECIAL WHEELCHAIR SEAT DEPTH BY UPHOLSTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1298","description":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1298","description":"SPECIAL WHLCHAIR SEAT DEPTH  AND OR WIDTH CONSTRUCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":499.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":499.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"V2786","description":"SPECIALTY OCCUPATIONAL MULTIFOCAL LENS PER LENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIFIC GRAVITY EXCEPT URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84315","description":"SPECIFIC GRAVITY EXCEPT URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECIFIC GRAVITY EXCEPT URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84315","description":"SPECIFIC GRAVITY EXCEPT URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.096,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84311","description":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.128,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84311","description":"SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.128,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.128,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92555","description":"SPEECH AUDIOMETRY THRESHOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92555","description":"SPEECH AUDIOMETRY THRESHOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92556","description":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92556","description":"SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2506","description":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3554.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3554.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2506","description":"SPEECH GEN DEVICE DIGITIZED  GT 40 MINS REC TIME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3554.804,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3554.804,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH THERAPY RE-EVALUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"S9152","description":"SPEECH THERAPY RE-EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.56,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPEECH THERAPY RE-EVALUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S9152","description":"SPEECH THERAPY RE-EVALUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.56,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPERM 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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46760","description":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":705.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46760","description":"SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":705.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":705.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46080","description":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46080","description":"SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46750","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46750","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":476.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46751","description":"SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":430.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46761","description":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46761","description":"SPHNCTROP ANAL LEVATOR MUSC IMBRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4660","description":"SPHYGMOMANOMETER/BP APPARATUS W/CUFF and STETHOSCOPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPINAL ORTHOSIS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1499","description":"SPINAL ORTHOSIS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"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":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4238","description":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4238","description":"SPL ALW ADJ NI CGM 1 MONTH SUPPLY  Equal to  1 UOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":292.138,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":292.138,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4225","description":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4225","description":"SPL EXT INSULIN INFUS PUMP SYR TYPE CART ST EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78185","description":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78185","description":"SPLEEN IMAGING ONLY W/WO VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":91.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":91.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38102","description":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38102","description":"SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38101","description":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":729.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38101","description":"SPLENECTOMY PARTIAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":729.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38101","description":"SPLENECTOMY TOTAL EN BLOC W/OTHER PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":729.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":729.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38100","description":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38100","description":"SPLENECTOMY TOTAL SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":721.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":721.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENOPORTOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75810","description":"SPLENOPORTOGRAPY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLENOPORTOGRAPY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75810","description":"SPLENOPORTOGRAPY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.188,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINT SUPPLIES MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q4051","description":"SPLINT SUPPLIES MISCELLANEOUS","negotiated_rates":[{"provider_references":[210414],"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":"SPLINTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4570","description":"SPLINTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLINTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4570","description":"SPLINTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15100","description":"SPLIT AGRFT T/A/L 1ST 100 CM/ and /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLIT AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15101","description":"SPLIT AGRFT T/A/L EA 100 CM/EA 1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.616,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15100","description":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15100","description":"SPLT AGRFT T/A/L 1ST 100 SQCM OR LT /1 PCT  BDY INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15101","description":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15101","description":"SPLT AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT  INFT/CHLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4239","description":"SPLY ALW NONADJUNC NONIMPL CGM  1 MO SPLY Equal to  1 UOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.394,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.394,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94010","description":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94010","description":"SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKE PROTECTORS EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0065","description":"SPOKE PROTECTORS EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPOKE PROTECTORS EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0065","description":"SPOKE PROTECTORS EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.371,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.371,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92541","description":"SPONTANEOUS NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPONTANEOUS NYSTAGMUS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92541","description":"SPONTANEOUS NYSTAGMUS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPRING-POWERED DEVICE FOR LANCET EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4258","description":"SPRING-POWERED DEVICE FOR LANCET EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.337,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89220","description":"SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89220","description":"SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.272,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37766","description":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37766","description":"STAB PHLEBT VARICOSE VEINS 1 XTR  GT  20 INCS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37765","description":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37765","description":"STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":262.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":262.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0042","description":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0042","description":"STANDARD SIZE FOOTPLATE REPLACEMENT ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96125","description":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96125","description":"STANDARDIZED COGNITIVE PERFORMANCE TESTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0638","description":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1902.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1902.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0638","description":"STANDING FRAME/TABLE SYS ONE POSITION ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1902.967,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1902.967,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69660","description":"STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69660","description":"STAPEDECTOMY/STAPEDOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":593.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":593.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69661","description":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":772.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69661","description":"STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":772.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":772.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPES MOBILIZATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69650","description":"STAPES MOBILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STAPES MOBILIZATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69650","description":"STAPES MOBILIZATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STATIC PROGRESSIVE STRETCH FINGER DVC EXTENSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1832","description":"STATIC PROGRESSIVE STRETCH FINGER DVC EXTENSION","negotiated_rates":[{"provider_references":[210414],"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":"STEM CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86367","description":"STEM CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEM CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86367","description":"STEM CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77373","description":"STEREOTACTIC BODY RADIATION DELIVERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77435","description":"STEREOTACTIC BODY RADIATION MANAGEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION MANAGEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77435","description":"STEREOTACTIC BODY RADIATION MANAGEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":413.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":413.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77373","description":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77373","description":"STEREOTACTIC BODY RADIATION TREATMENT DELIVERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.898,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.898,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61750","description":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61750","description":"STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61783","description":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61783","description":"STEREOTACTIC COMPUTER ASSISTED PX SPINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61798","description":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61798","description":"STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":873.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":873.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61796","description":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1013.0827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1013.0827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":103.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":103.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.5364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.5364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":643.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":643.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":787.0922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":787.0922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":787.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":787.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":79.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":79.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":884.8232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":884.8232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":967.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":967.1231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61796","description":"STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1013.0827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1013.0827,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":103.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":103.3424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.5364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.5364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":643.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":643.0341,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":721.3926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":721.3926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":787.0922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":787.0922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":787.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":787.7268,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":79.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":79.9284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":884.8232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":884.8232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":900.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":900.4215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.4243,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":967.1231,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":967.1231,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63620","description":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1029.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1029.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1082.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1082.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1181.5902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1181.5902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":756.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":756.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":836.2917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":836.2917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":849.6521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":849.6521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":926.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":926.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":944.0764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":944.0764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":964.5512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":964.5512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63620","description":"STEREOTACTIC RADIOSURGERY 1 SPINAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1029.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1029.4825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1082.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1082.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1181.5902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1181.5902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":144.0581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.4306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":179.3962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":756.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":756.3634,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":836.2917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":836.2917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":849.6521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":849.6521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":926.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":926.1402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":944.0764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":944.0764,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":964.5512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":964.5512,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63621","description":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":221.3478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":221.3478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":235.8438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":235.8438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63621","description":"STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":221.3478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":221.3478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":235.8438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":235.8438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77432","description":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77432","description":"STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERILE SALINE/WATER METERED DOSE DISPNS 10 ML","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4218","description":"STERILE SALINE/WATER METERED DOSE DISPNS 10 ML","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21627","description":"STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STERNAL DEBRIDEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"21627","description":"STERNAL DEBRIDEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STIMULUS EVOKED RESPONSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51792","description":"STIMULUS EVOKED RESPONSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STIMULUS EVOKED RESPONSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51792","description":"STIMULUS EVOKED RESPONSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0982","description":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0982","description":"STOCKING SUPPORTER GRIPS PREFAB OFF SHELF SET 4","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.467,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA CAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5055","description":"STOMA CAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOMA PLUG OR SEAL ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5081","description":"STOMA PLUG OR SEAL ANY TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.311,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59525","description":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59525","description":"STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.846,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE  and /FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29540","description":"STRAPPING ANKLE  and /FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ANKLE  and /FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29540","description":"STRAPPING ANKLE  and /FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ELBOW/WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29260","description":"STRAPPING ELBOW/WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING ELBOW/WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29260","description":"STRAPPING ELBOW/WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29280","description":"STRAPPING HAND/FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HAND/FINGER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29280","description":"STRAPPING HAND/FINGER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HIP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29520","description":"STRAPPING HIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING HIP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29520","description":"STRAPPING HIP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING KNEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29530","description":"STRAPPING KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING KNEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29530","description":"STRAPPING KNEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING SHOULDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29240","description":"STRAPPING SHOULDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING SHOULDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29240","description":"STRAPPING SHOULDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING THORAX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29200","description":"STRAPPING THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING THORAX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29200","description":"STRAPPING THORAX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29550","description":"STRAPPING TOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.749,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRAPPING UNNA BOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29580","description":"STRAPPING UNNA BOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STREPTOKINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86590","description":"STREPTOKINASE ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STREPTOKINASE ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86590","description":"STREPTOKINASE ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61751","description":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":884.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61751","description":"STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT and I/MR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":884.708,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.708,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61781","description":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61781","description":"STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":145.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61782","description":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61782","description":"STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61760","description":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1004.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61760","description":"STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1004.575,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1004.575,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61863","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":957.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61863","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":957.495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":957.495,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61864","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61864","description":"STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":174.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61867","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1435.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61867","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1435.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1435.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61868","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61868","description":"STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61770","description":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1025.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61770","description":"STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1025.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1025.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61799","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":260.0594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":260.0594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":311.8976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":311.8976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61799","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":260.0594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":260.0594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":311.8976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":311.8976,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61797","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61797","description":"STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63610","description":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63610","description":"STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STUMP ELONGATION UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24935","description":"STUMP ELONGATION UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"STUMP ELONGATION UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24935","description":"STUMP ELONGATION UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.7752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.7752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.7854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.7854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":413.4697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":413.4697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15277","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM 1ST 100SQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.7752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.7752,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":371.7854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":371.7854,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":413.4697,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":413.4697,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15278","description":"SUB GRFT F/S/N/H/F/G/M/D  GT or equal to  100SCM ADL 100SQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15275","description":"SUB GRFT F/S/N/H/F/G/M/D  LT 100SQ CM 1ST 25 SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":103.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":103.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15276","description":"SUB GRFT F/S/N/H/F/G/M/D LT 100SQ CM EA ADDL25SQ CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11980","description":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11980","description":"SUBCUTANEOUS HORMONE PELLET IMPLANTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96370","description":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96370","description":"SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96369","description":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96369","description":"SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61531","description":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61531","description":"SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61000","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61001","description":"SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT  SITES PR SESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41530","description":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT  SITES PR SESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1088.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1088.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":837.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":837.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":945.6129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":945.6129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT  SITES PR SESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41530","description":"SUBMUCOSAL ABLTJ TONGUE RF 1 OR GT  SITES PR SESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1088.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1088.8025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":837.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":837.6946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":945.6129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":945.6129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"30140","description":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"30140","description":"SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99462","description":"SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.284,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.284,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99469","description":"SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96371","description":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96371","description":"SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT  LT  1500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99478","description":"SUBSEQUENT INTENSIVE CARE INFANT  LT  1500 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99479","description":"SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99480","description":"SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99476","description":"SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99472","description":"SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":249.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBTEMPORAL CRANIAL DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61340","description":"SUBTEMPORAL CRANIAL DECOMPRESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":914.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUBTEMPORAL CRANIAL DECOMPRESSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61340","description":"SUBTEMPORAL CRANIAL DECOMPRESSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":914.518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.518,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15876","description":"SUCTION ASSISTED LIPECTOMY HEAD  AND  NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15879","description":"SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY TRUNK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15877","description":"SUCTION ASSISTED LIPECTOMY TRUNK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15878","description":"SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUCTION PUMP HOME MODEL PORTABLE FOR USE WOUNDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0743","description":"SUCTION PUMP HOME MODEL PORTABLE FOR USE WOUNDS","negotiated_rates":[{"provider_references":[210414],"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":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84375","description":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84375","description":"SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84376","description":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84376","description":"SUGARS MONO DI AND OLIGOS 1 QUALITATAIVE EACH SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84378","description":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84378","description":"SUGARS MONO DI AND OLIGOS 1 QUANTITATIVE EACH SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84377","description":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84377","description":"SUGARS MONO DI AND OLIGOS MLT QUALITATIVE EACH SPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84379","description":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84379","description":"SUGARS MONO DI AND OLIGOS MLT QUANTITATIVE EA SPEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9700","description":"SUP OF INJ CONTRST MAT-ECHO P/STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HANDLING LOADING RADIATION SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION HANDLING LOADING RADIATION SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77790","description":"SUPERVISION HANDLING LOADING RADIATION SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99486","description":"SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99485","description":"SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99380","description":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99380","description":"SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4224","description":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4224","description":"SUPPLIES MAINTENANCE INSULIN INFUS CATH PER WEEK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.741,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99070","description":"SUPPLIES and MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58180","description":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":608.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58180","description":"SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":608.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":608.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRAHYOID LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38700","description":"SUPRAHYOID LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPRAHYOID LYMPHADENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38700","description":"SUPRAHYOID LYMPHADENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":517.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36253","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1272.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36254","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1773.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1773.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2009.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2009.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2302.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2302.324,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36253","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1272.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1272.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36254","description":"SUPSLCTV CATH 2ND Plus ORD RENAL and ACCESSORY ARTERY/S an","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1773.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1773.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2009.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2009.7322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2302.324,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2302.324,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77789","description":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77789","description":"SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31820","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31820","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31825","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31825","description":"SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46285","description":"SURG TX ANAL FISTULA 2ND STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46285","description":"SURG TX ANAL FISTULA 2ND STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA INTERSPHINCTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46275","description":"SURG TX ANAL FISTULA INTERSPHINCTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA INTERSPHINCTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46275","description":"SURG TX ANAL FISTULA INTERSPHINCTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":369.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":369.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46270","description":"SURG TX ANAL FISTULA SUBQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURG TX ANAL FISTULA SUBQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46270","description":"SURG TX ANAL FISTULA SUBQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29826","description":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29826","description":"SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29828","description":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29828","description":"SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29806","description":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29806","description":"SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29821","description":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29821","description":"SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":388.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":388.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29824","description":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29824","description":"SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":442.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29822","description":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29822","description":"SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29820","description":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29820","description":"SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":349.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":349.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29819","description":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29819","description":"SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29807","description":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29807","description":"SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29825","description":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29825","description":"SURGICAL ARTHROSCOPY SHOULDER W/LSS and RESCJ ADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":383.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29827","description":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":687.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29827","description":"SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":687.533,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":687.533,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29823","description":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29823","description":"SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3 Plus","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.738,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SURGICAL SUPPLY; MISCELLANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4649","description":"SURGICAL SUPPLY; MISCELLANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"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":"SURGICAL TRAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4550","description":"SURGICAL TRAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87181","description":"SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87184","description":"SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87185","description":"SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ","negotiated_rates":[{"provider_references":[210414],"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":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.18,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87186","description":"SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.612,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87187","description":"SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87190","description":"SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.435,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64832","description":"SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ CRV APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43410","description":"SUTR ESOPHGL WND/INJ CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":663.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ CRV APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43410","description":"SUTR ESOPHGL WND/INJ CRV APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":663.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":663.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43415","description":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1586.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1586.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43415","description":"SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1586.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1586.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27381","description":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27381","description":"SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":533.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":533.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44605","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44605","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44604","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44604","description":"SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":659.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":659.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69740","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":742.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69740","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":742.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":742.225,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69745","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69745","description":"SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":791.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":791.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64857","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64857","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":670.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":670.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64856","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64856","description":"SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27386","description":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27386","description":"SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":557.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":557.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33321","description":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33321","description":"SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":730.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33320","description":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33320","description":"SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":658.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":658.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38382","description":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38382","description":"SUTR and /LIG THORACIC DUCT ABDOMINAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38380","description":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38380","description":"SUTR and /LIG THORACIC DUCT CERVICAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":373.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":373.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38381","description":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38381","description":"SUTR and /LIG THORACIC DUCT THORACIC APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":505.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64834","description":"SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":483.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":483.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64835","description":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64835","description":"SUTURE 1 NERVE MEDIAN MOTOR THENAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE ULNAR MOTOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64836","description":"SUTURE 1 NERVE ULNAR MOTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE 1 NERVE ULNAR MOTOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64836","description":"SUTURE 1 NERVE ULNAR MOTOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":526.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":526.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64861","description":"SUTURE BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":968.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE BRACHIAL PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64861","description":"SUTURE BRACHIAL PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":968.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":968.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64831","description":"SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64837","description":"SUTURE EACH ADDITIONAL NERVE HAND/FOOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":226.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64859","description":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64859","description":"SUTURE EACH ADDITIONAL PERIPHERAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47900","description":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47900","description":"SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":866.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64864","description":"SUTURE FACIAL NERVE EXTRACRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE EXTRACRANIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64864","description":"SUTURE FACIAL NERVE EXTRACRANIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":549.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":549.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64865","description":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":691.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64865","description":"SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":691.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":691.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE INFRAPATELLAR TENDON PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27380","description":"SUTURE INFRAPATELLAR TENDON PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE INFRAPATELLAR TENDON PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27380","description":"SUTURE INFRAPATELLAR TENDON PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE LUMBAR PLEXUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64862","description":"SUTURE LUMBAR PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE LUMBAR PLEXUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64862","description":"SUTURE LUMBAR PLEXUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":875.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":875.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44850","description":"SUTURE MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE MESENTERY SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44850","description":"SUTURE MESENTERY SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":473.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64872","description":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64872","description":"SUTURE NERVE REQ SECONDARY/DELAYED SUTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.171,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64876","description":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64876","description":"SUTURE NERVE REQ SHORTENING BONE EXTREMITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64874","description":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64874","description":"SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE PHARYNX WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42900","description":"SUTURE PHARYNX WOUND/INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE PHARYNX WOUND/INJURY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42900","description":"SUTURE PHARYNX WOUND/INJURY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":212.597,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE POSTERIOR TIBIAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64840","description":"SUTURE POSTERIOR TIBIAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE POSTERIOR TIBIAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64840","description":"SUTURE POSTERIOR TIBIAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27385","description":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27385","description":"SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.662,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33322","description":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":851.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33322","description":"SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":851.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":851.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64858","description":"SUTURE SCIATIC NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":750.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE SCIATIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64858","description":"SUTURE SCIATIC NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":750.86,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.86,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TONGUE LIP MICROGNATHIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41510","description":"SUTURE TONGUE LIP MICROGNATHIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TONGUE LIP MICROGNATHIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41510","description":"SUTURE TONGUE LIP MICROGNATHIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31800","description":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31800","description":"SUTURE TRACHEAL WOUND/INJURY CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31805","description":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31805","description":"SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.487,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"SWEAT COLLECTION IONTOPHORESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"89230","description":"SWEAT COLLECTION IONTOPHORESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWEAT COLLECTION IONTOPHORESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"89230","description":"SWEAT COLLECTION IONTOPHORESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0052","description":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0052","description":"SWINGAWAY DETACHABLE FOOTRESTS REPL ONLY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.874,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64802","description":"SYMPATHECTOMY CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64802","description":"SYMPATHECTOMY CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":546.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64804","description":"SYMPATHECTOMY CERVICOTHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":761.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY CERVICOTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64804","description":"SYMPATHECTOMY CERVICOTHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":761.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64820","description":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64820","description":"SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":497.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":497.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64818","description":"SYMPATHECTOMY LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64818","description":"SYMPATHECTOMY LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY RADIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64821","description":"SYMPATHECTOMY RADIAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY RADIAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64821","description":"SYMPATHECTOMY RADIAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64823","description":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64823","description":"SYMPATHECTOMY SUPERFICIAL PALMAR ARCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":514.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":514.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64809","description":"SYMPATHECTOMY THORACOLUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY THORACOLUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64809","description":"SYMPATHECTOMY THORACOLUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64822","description":"SYMPATHECTOMY ULNAR ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPATHECTOMY ULNAR ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64822","description":"SYMPATHECTOMY ULNAR ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50540","description":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50540","description":"SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":723.107,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNDACTYLIZATION TOES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28280","description":"SYNDACTYLIZATION TOES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":323.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":323.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY CARPOMETACARPAL JOINT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26130","description":"SYNOVECTOMY CARPOMETACARPAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY CARPOMETACARPAL JOINT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26130","description":"SYNOVECTOMY CARPOMETACARPAL JOINT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25118","description":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25118","description":"SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28072","description":"SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":319.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28088","description":"SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28086","description":"SYNOVECTOMY TENDON SHEATH FOOT FLEXOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":337.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":337.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28070","description":"SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26135","description":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26135","description":"SYNVCT MTCARPHLNGL JT W/INTRNSC RLS and XTNSR HOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":366.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":366.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26140","description":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26140","description":"SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":336.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":336.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26145","description":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26145","description":"SYNVCT TDN SHTH RAD FLXR TDN PALM and /FNGR EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":342.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25119","description":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25119","description":"SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86592","description":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86592","description":"SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86593","description":"SYPHILIS TEST QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYPHILIS TEST QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86593","description":"SYPHILIS TEST QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.054,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4232","description":"SYRINGE W/NDLE EXTERNAL INSULIN PUMP STERILE 3CC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":87.054,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":87.054,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2188.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2188.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":135.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4565","description":"Slings","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.836,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":353.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":353.43,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.694,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86360","description":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86360","description":"T CELLS ABSOLUTE CD4 AND CD8 COUNT RATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86361","description":"T CELLS ABSOLUTE CD4 COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS ABSOLUTE CD4 COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86361","description":"T CELLS ABSOLUTE CD4 COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86359","description":"T CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"T CELLS TOTAL COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86359","description":"T CELLS TOTAL COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.198,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.695,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":285.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":285.956,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":288.695,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":288.695,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TALECTOMY ASTRAGALECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28130","description":"TALECTOMY ASTRAGALECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":407.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":407.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TANGENTIAL BIOPSY SKIN SINGLE LESION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11102","description":"TANGENTIAL BIOPSY SKIN SINGLE LESION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11920","description":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11920","description":"TATTOOING INCL MICROPIGMENTATION 6.0 CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11921","description":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11921","description":"TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":220.4459,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":243.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":275.0564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":275.0564,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86481","description":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86481","description":"TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86480","description":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86480","description":"TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37215","description":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37215","description":"TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.103,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.103,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37216","description":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37216","description":"TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.278,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61624","description":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61624","description":"TCAT PERM OCCLS/EMBOLIZATION PERQ CNS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61626","description":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61626","description":"TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61624","description":"TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":718.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":718.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61626","description":"TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":560.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92974","description":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92974","description":"TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1219.5003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1219.5003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1341.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1341.6808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1442.5515,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1442.5515,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT XTRC VRT CRTD STENT RS AND I PRQ 1ST VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0075T","description":"TCAT PLMT XTRC VRT CRTD STENT RS AND I PRQ 1ST VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCAT PLMT XTRC VRT CRTD STENT RS AND IPRQ EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0076T","description":"TCAT PLMT XTRC VRT CRTD STENT RS AND IPRQ EA VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93893","description":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93893","description":"TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.004,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.867,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.625,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.867,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.659,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.428,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.659,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.659,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25310","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25310","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1 EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25312","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25312","description":"TDN TRNSPLJ/TR FLXR/XTNSR F/ARM and /WRST 1/TDN GR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35306","description":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35306","description":"TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":264.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":264.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35303","description":"TEAEC W/GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT POPLITEAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35303","description":"TEAEC W/GRAFT POPLITEAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":737.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":737.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35302","description":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35302","description":"TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":671.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":671.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35305","description":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35305","description":"TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35304","description":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1001.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1001.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1037.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1037.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1099.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1099.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":869.9264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":869.9264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":944.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":944.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":952.5269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":952.5269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35304","description":"TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1001.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1001.7932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1019.3287,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1037.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1037.5656,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1099.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1099.2236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1105.2358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1169.3655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":66.8018,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":67.6702,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.1419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":82.6004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":869.9264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":869.9264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":93.0883,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":944.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":944.4772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":952.5269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":952.5269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.4304,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35301","description":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35301","description":"TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":680.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35331","description":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":871.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35331","description":"TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":871.959,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":871.959,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35361","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":914.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35361","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":914.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":914.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35363","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":974.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35363","description":"TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":974.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35371","description":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35371","description":"TEAEC W/WO PATCH GRAFT COMMON FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":491.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":491.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35372","description":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35372","description":"TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.609,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.609,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35351","description":"TEAEC W/WO PATCH GRAFT ILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":775.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35351","description":"TEAEC W/WO PATCH GRAFT ILIAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":775.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":775.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35355","description":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35355","description":"TEAEC W/WO PATCH GRAFT ILIOFEMORAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35341","description":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35341","description":"TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35321","description":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35321","description":"TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":550.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":550.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35311","description":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35311","description":"TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":945.153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":945.153,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99366","description":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99366","description":"TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99367","description":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99367","description":"TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9504","description":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9504","description":"TECHNETIUM TC-99M APCITIDE DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9557","description":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9557","description":"TECHNETIUM TC-99M BICISATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9536","description":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9536","description":"TECHNETIUM TC-99M DEPREOTIDE DX UP TO 35 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9510","description":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9510","description":"TECHNETIUM TC-99M DISOFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9569","description":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9569","description":"TECHNETIUM TC-99M EXAMETAZIME AUTOLG WBC DX DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9521","description":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9521","description":"TECHNETIUM TC-99M EXETAZIME DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9566","description":"TECHNETIUM TC-99M FANOLESOMAB DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9560","description":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9560","description":"TECHNETIUM TC-99M LABELED RBC DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9540","description":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9540","description":"TECHNETIUM TC-99M MAA DX STDY DOSE UP TO 10 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9537","description":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9537","description":"TECHNETIUM TC-99M MEBROFENIN DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9503","description":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9503","description":"TECHNETIUM TC-99M MEDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9562","description":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9562","description":"TECHNETIUM TC-99M MERTIATIDE DX UP TO 15 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9561","description":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9561","description":"TECHNETIUM TC-99M OXIDRONATE DX UP TO 30 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9567","description":"TECHNETIUM TC-99M PENTETATE DX AEROSOL TO 75 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9539","description":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9539","description":"TECHNETIUM TC-99M PENTETATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9512","description":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9512","description":"TECHNETIUM TC-99M PERTCHNETATE DX PER MILLICURIE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9538","description":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9538","description":"TECHNETIUM TC-99M PYROPHOSHATE DX UP TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9550","description":"TECHNETIUM TC-99M SODIUM GLUCEPTATE DX TO 25 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9551","description":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9551","description":"TECHNETIUM TC-99M SUCCIMER DX UP TO 10 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9541","description":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9541","description":"TECHNETIUM TC-99M SULFUR COLLOID DX UP TO 20 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9501","description":"TECHNETIUM TC-99M TEBOROXIME DX PER STUDY DOSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9568","description":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9568","description":"TECHTM TC-99M ARCITUMOMAB DX STDY DOSE TO 45 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH ORIGINATING SITE FACILITY FEE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q3014","description":"TELEHEALTH ORIGINATING SITE FACILITY FEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELEHEALTH ORIGINATING SITE FACILITY FEE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q3014","description":"TELEHEALTH ORIGINATING SITE FACILITY FEE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.093,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.093,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77307","description":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77307","description":"TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":98.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"70332","description":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"70332","description":"TEMPOROMANDBLE JT ARTHROGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.658,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"TENDON GRAFT FROM A DISTANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20924","description":"TENDON GRAFT FROM A DISTANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON GRAFT FROM A DISTANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"20924","description":"TENDON GRAFT FROM A DISTANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24305","description":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24305","description":"TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON SHEATH INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26055","description":"TENDON SHEATH INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON SHEATH INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26055","description":"TENDON SHEATH INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":386.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26483","description":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26483","description":"TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24340","description":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24340","description":"TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":397.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":397.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS DISTAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26474","description":"TENODESIS DISTAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS DISTAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26474","description":"TENODESIS DISTAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":428.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":428.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23430","description":"TENODESIS LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS LONG TENDON BICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23430","description":"TENODESIS LONG TENDON BICEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26471","description":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26471","description":"TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST EXTENSORS FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25301","description":"TENODESIS WRIST EXTENSORS FINGERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST EXTENSORS FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25301","description":"TENODESIS WRIST EXTENSORS FINGERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":422.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":422.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST FLEXORS FINGERS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25300","description":"TENODESIS WRIST FLEXORS FINGERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENODESIS WRIST FLEXORS FINGERS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25300","description":"TENODESIS WRIST FLEXORS FINGERS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":453.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26449","description":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26449","description":"TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":463.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28226","description":"TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28225","description":"TENOLYSIS EXTENSOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":269.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":269.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26445","description":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26445","description":"TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":398.046,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28222","description":"TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.084,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28220","description":"TENOLYSIS FLEXOR FOOT SINGLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":290.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":290.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26442","description":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26442","description":"TENOLYSIS FLEXOR TENDON PALM AND FINGER EACH TENDO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":649.297,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26440","description":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26440","description":"TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":427.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":427.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27680","description":"TENOLYSIS FLXR/XTNSR TENDON LEG and /ANKLE 1 EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS TRICEPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24332","description":"TENOLYSIS TRICEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOLYSIS TRICEPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24332","description":"TENOLYSIS TRICEPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOPLASTY ELBOW TO SHOULDER SINGLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24320","description":"TENOPLASTY ELBOW TO SHOULDER SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":507.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOPLASTY ELBOW TO SHOULDER SINGLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24320","description":"TENOPLASTY ELBOW TO SHOULDER SINGLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":507.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":507.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27006","description":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27006","description":"TENOTOMY ABDUCTORS and /EXTENSOR HIP OPEN SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27001","description":"TENOTOMY ADDUCTOR HIP OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27001","description":"TENOTOMY ADDUCTOR HIP OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":352.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27000","description":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27000","description":"TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24357","description":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24357","description":"TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26460","description":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26460","description":"TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26455","description":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26455","description":"TENOTOMY FLEXOR FINGER OPEN EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26450","description":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26450","description":"TENOTOMY FLEXOR PALM OPEN EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":307.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":307.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27005","description":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27005","description":"TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":470.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":470.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28240","description":"TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24310","description":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24310","description":"TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":310.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28234","description":"TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":268.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27392","description":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27392","description":"TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":465.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":465.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27390","description":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27390","description":"TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27391","description":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27391","description":"TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":380.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26060","description":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26060","description":"TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28011","description":"TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28010","description":"TENOTOMY PERCUTANEOUS TOE SINGLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27606","description":"TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27605","description":"TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27306","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27306","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":227.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27307","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27307","description":"TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":270.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER AREA 1 TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23405","description":"TENOTOMY SHOULDER AREA 1 TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER AREA 1 TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23405","description":"TENOTOMY SHOULDER AREA 1 TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":400.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"23406","description":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"23406","description":"TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1005","description":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3173.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3173.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1005","description":"TENSION BASED SCOLIOSIS ORTHOSIS AND ACCESSORY PADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3173.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3173.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7680","description":"TERBUTALINE SULFATE INHAL COMP CONC FORM PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J7681","description":"TERBUTALINE SULFATE INHAL COMP UNIT DOSE PER MG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6714","description":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1314.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6714","description":"TERM DEVC HAND MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1314.808,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1314.808,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6722","description":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2014.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2014.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6722","description":"TERM DEVC HOOK/HAND HVY-DUTY MECH VOL CLOS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2014.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2014.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6721","description":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2336.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2336.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6721","description":"TERM DEVC HOOK/HND HVY-DUTY MECH VOL OPN ANY SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2336.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2336.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6713","description":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1552.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6713","description":"TERM DVC HAND MECH VOL OPN ANY MATL ANY SIZE PED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1552.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1552.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6712","description":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1229.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6712","description":"TERM DVC HOOK MECH VOL CLOS ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1229.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1229.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6711","description":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6711","description":"TERM DVC HOOK MECH VOL OPN ANY MATL ANY SZ PED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":668.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":668.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6709","description":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1424.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6709","description":"TERMINAL DEVICE HAND MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1424.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1424.28,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6708","description":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6708","description":"TERMINAL DEVICE HAND MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":993.212,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6707","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1423.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6707","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY CLOSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1423.367,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1423.367,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6706","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6706","description":"TERMINAL DEVICE HOOK MECH VOLUNTARY OPENING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":403.458,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":403.458,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6703","description":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6703","description":"TERMINAL DEVICE PASSIVE HND/MITT ANY MATERIAL SZ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":334.158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":334.158,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6704","description":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.271,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6704","description":"TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":634.271,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":634.271,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTICULAR IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78761","description":"TESTICULAR IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTICULAR IMAGING WITH VASCULAR FLOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78761","description":"TESTICULAR IMAGING WITH VASCULAR FLOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95923","description":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95923","description":"TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36516","description":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1433.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1433.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36516","description":"THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1433.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1433.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97129","description":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"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":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97129","description":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"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":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97130","description":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97130","description":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.574,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96374","description":"THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97116","description":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97116","description":"THER PX 1 OR GT  AREAS EA 15 MIN GAIT TRAING W/STAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97113","description":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97113","description":"THER PX 1 OR GT  AREAS EACH 15 MIN AQUA THER W/XERSS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97112","description":"THER PX 1 OR GT  AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97124","description":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97124","description":"THER PX 1 OR GT  AREAS EACH 15 MINUTES MASSAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77290","description":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77290","description":"THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77285","description":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77285","description":"THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":260.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":260.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.388,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77280","description":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77280","description":"THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":179.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92609","description":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92609","description":"THER SP-GENRATJ DEV PRGRMG AND MODIFICAJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.441,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY  AND  MNG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90868","description":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY  AND  MNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.063,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY  AND  MNG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90868","description":"THERAP REPETITIVE TMS TX SUBSEQ DELIVERY  AND  MNG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.063,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLASMA PHERESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36514","description":"THERAPEUTIC APHERESIS PLASMA PHERESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLASMA PHERESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36514","description":"THERAPEUTIC APHERESIS PLASMA PHERESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":456.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLATELETS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36513","description":"THERAPEUTIC APHERESIS PLATELETS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS PLATELETS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36513","description":"THERAPEUTIC APHERESIS PLATELETS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS RED BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36512","description":"THERAPEUTIC APHERESIS RED BLOOD CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS RED BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36512","description":"THERAPEUTIC APHERESIS RED BLOOD CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36511","description":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36511","description":"THERAPEUTIC APHERESIS WHITE BLOOD CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74283","description":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74283","description":"THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":171.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96375","description":"THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97150","description":"THERAPEUTIC PROCEDURES GROUP 2 OR GT  INDIVIDUALS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96372","description":"THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"96373","description":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96373","description":"THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.54,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGE(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY PORT IMAGES(S)","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77417","description":"THERAPEUTIC RADIOLOGY PORT IMAGES(S)","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77263","description":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77263","description":"THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77262","description":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77262","description":"THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77261","description":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77261","description":"THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62272","description":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62272","description":"THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32906","description":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32906","description":"THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1009.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1009.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32905","description":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32905","description":"THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":821.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":821.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32654","description":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32654","description":"THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":740.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32606","description":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32606","description":"THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32604","description":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32604","description":"THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32673","description":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32673","description":"THORACOSCOPY RESEXN THYMUS UNI/BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":846.1116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":923.0673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":992.2405,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32653","description":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32653","description":"THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":656.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":656.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/BILOBECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32670","description":"THORACOSCOPY W/BILOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1026.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1026.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1118.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1118.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1172.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1172.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1200.7958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1200.7958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1281.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1281.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1353.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1353.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1477.0212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1477.0212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1582.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1582.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/BILOBECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32670","description":"THORACOSCOPY W/BILOBECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1026.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1026.2427,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1118.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1118.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1172.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1172.9728,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1200.7958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1200.7958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1281.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1281.0915,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1353.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1353.1039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1374.28,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1477.0212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1477.0212,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1582.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1582.8353,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32607","description":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32607","description":"THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32608","description":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32608","description":"THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":326.8612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":358.0242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":382.0395,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32668","description":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32668","description":"THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32665","description":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32665","description":"THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":757.438,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32662","description":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32662","description":"THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":554.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":554.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32661","description":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32661","description":"THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":495.506,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32663","description":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":858.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32663","description":"THORACOSCOPY W/LOBECTOMY SINGLE LOBE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":858.396,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.396,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32656","description":"THORACOSCOPY W/PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARIETAL PLEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32656","description":"THORACOSCOPY W/PARIETAL PLEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.236,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32651","description":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32651","description":"THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.841,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.841,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32650","description":"THORACOSCOPY W/PLEURODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PLEURODESIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32650","description":"THORACOSCOPY W/PLEURODESIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32671","description":"THORACOSCOPY W/PNEUMONECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1142.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1142.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1245.9204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1245.9204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1288.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1288.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1333.2971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1333.2971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1408.0149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1408.0149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1499.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1499.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1506.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1506.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1639.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1639.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1756.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1756.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/PNEUMONECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32671","description":"THORACOSCOPY W/PNEUMONECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1142.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1142.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1245.9204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1245.9204,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1288.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1288.9741,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1333.2971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1333.2971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1408.0149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1408.0149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1499.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1499.834,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1506.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1506.7814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1639.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1639.1158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1756.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1756.3195,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32655","description":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32655","description":"THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32672","description":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1049.9907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1049.9907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1124.7419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1124.7419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1286.3021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1286.3021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1409.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1409.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1512.6934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1512.6934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":962.1129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":962.1129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32672","description":"THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1049.9907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1049.9907,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1108.8431,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1124.7419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1124.7419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1212.0853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1286.3021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1286.3021,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1298.2262,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1409.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1409.351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1512.6934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1512.6934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":962.1129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":962.1129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32658","description":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32658","description":"THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":445.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":445.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32669","description":"THORACOSCOPY W/SEGMENTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1139.5719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1139.5719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1247.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1247.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1339.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1339.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/SEGMENTECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32669","description":"THORACOSCOPY W/SEGMENTECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1051.3267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1056.9715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1130.6539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1139.5719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1139.5719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1154.1681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1241.7787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1247.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1247.2564,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1339.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1339.2091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":959.4409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32667","description":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32667","description":"THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32666","description":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":599.1787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":599.1787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":632.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":632.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":659.4674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":659.4674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":693.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":693.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":713.5434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":713.5434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":745.9089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":745.9089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":748.6144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":748.6144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":821.5619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":821.5619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":887.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":887.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32666","description":"THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":599.1787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":599.1787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":632.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":632.5796,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":659.4674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":659.4674,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":693.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":693.3025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":713.5434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":713.5434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":745.9089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":745.9089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":748.6144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":748.6144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":821.5619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":821.5619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":887.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":887.0277,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32664","description":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32664","description":"THORACOSCOPY W/THORACIC SYMPATHECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":525.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":525.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32609","description":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32609","description":"THORACOSCOPY WITH BIOPSYIES OF PLEURA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32036","description":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32036","description":"THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":492.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":492.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY W/RIB RESECTION EMPYEMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32035","description":"THORACOSTOMY W/RIB RESECTION EMPYEMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOSTOMY W/RIB RESECTION EMPYEMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32035","description":"THORACOSTOMY W/RIB RESECTION EMPYEMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32124","description":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32124","description":"THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":574.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":574.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32120","description":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32120","description":"THORACOTOMY POSTOPERATIVE COMPLICATIONS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":544.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/BIOPSY OF PLEURA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32098","description":"THORACOTOMY W/BIOPSY OF PLEURA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.2504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.2504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":565.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":565.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":568.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":568.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":610.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":610.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":624.2962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":624.2962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":672.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":672.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/BIOPSY OF PLEURA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32098","description":"THORACOTOMY W/BIOPSY OF PLEURA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":519.2504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":519.2504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":565.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":565.043,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":568.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":568.4499,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":610.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":610.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":624.2962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":624.2962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":672.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":672.5605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/CARDIAC MASSAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32160","description":"THORACOTOMY W/CARDIAC MASSAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/CARDIAC MASSAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32160","description":"THORACOTOMY W/CARDIAC MASSAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":501.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":501.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32507","description":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32507","description":"THORACOTOMY W/DX WEDGE RESEXN  and  ANTOM LUNG RESE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/RESECTION BULLAE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32141","description":"THORACOTOMY W/RESECTION BULLAE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":934.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/RESECTION BULLAE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32141","description":"THORACOTOMY W/RESECTION BULLAE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":934.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":934.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32506","description":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32506","description":"THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32505","description":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32505","description":"THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":577.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY WITH EXPLORATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32100","description":"THORACOTOMY WITH EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACOTOMY WITH EXPLORATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32100","description":"THORACOTOMY WITH EXPLORATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32096","description":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":535.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":535.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":590.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":590.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":601.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":601.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":637.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":637.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":658.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":658.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":707.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":707.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32096","description":"THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":535.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":535.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":590.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":590.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":601.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":601.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":637.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":637.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":658.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":658.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":707.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":707.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32097","description":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":535.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":535.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":590.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":590.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":601.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":601.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":637.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":637.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":658.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":658.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":707.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":707.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32097","description":"THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":535.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":535.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":590.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":590.4611,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":601.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":601.8508,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":637.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":637.4896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":658.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":658.1313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":707.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":707.6315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32110","description":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":918.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32110","description":"THORCOM CTRL TRAUMTC HEMRRG and /RPR LNG TEAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":918.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38746","description":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38746","description":"THORCOM THRC W/MEDSTNL  and  REGIONAL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.327,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/REMOVAL OF CYST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32140","description":"THORCOM W/REMOVAL OF CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/REMOVAL OF CYST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32140","description":"THORCOM W/REMOVAL OF CYST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32150","description":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32150","description":"THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL IPUL FB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32151","description":"THORCOM W/RMVL IPUL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOM W/RMVL IPUL FB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32151","description":"THORCOM W/RMVL IPUL FB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32674","description":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32674","description":"THORCOSCPY W/MEDIASTINL  and  REGIONL LYMPHDENECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":180.1311,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":195.9297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":208.5552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32601","description":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32601","description":"THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35875","description":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35875","description":"THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":358.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":358.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35876","description":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35876","description":"THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":568.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":568.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34490","description":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34490","description":"THRMBC DIR/W/CATH AXILL and SUBCLAVIAN VEIN ARM IN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34471","description":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34471","description":"THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":650.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":650.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34451","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":862.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34451","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL and LEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":862.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":862.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34421","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34421","description":"THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":420.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":420.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34401","description":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34401","description":"THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":805.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":805.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36831","description":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36831","description":"THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":376.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME PLASMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85670","description":"THROMBIN TIME PLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME PLASMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85670","description":"THROMBIN TIME PLASMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME TITER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85675","description":"THROMBIN TIME TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBIN TIME TITER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85675","description":"THROMBIN TIME TITER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOMODULIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85337","description":"THROMBOMODULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOMODULIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85337","description":"THROMBOMODULIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN INHIBITION TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85705","description":"THROMBOPLASTIN INHIBITION TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN INHIBITION TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85705","description":"THROMBOPLASTIN INHIBITION TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85730","description":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85730","description":"THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.291,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85732","description":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85732","description":"THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84431","description":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84431","description":"THROMBOXANE METABOLITE W/WO THROMBOXANE URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32659","description":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32659","description":"THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32652","description":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1021.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32652","description":"THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1021.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1021.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60522","description":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":844.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60522","description":"THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":844.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":844.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60520","description":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60520","description":"THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":661.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":661.43,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60521","description":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60521","description":"THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":699.457,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":699.457,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROGLOBULIN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86800","description":"THYROGLOBULIN ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROGLOBULIN ANTIBODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86800","description":"THYROGLOBULIN ANTIBODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78016","description":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78016","description":"THYROID CARCINOMA METASTASES IMG ADDL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":144.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":165.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG LMTD AREA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78015","description":"THYROID CARCINOMA METASTASES IMG LMTD AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG LMTD AREA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78015","description":"THYROID CARCINOMA METASTASES IMG LMTD AREA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":119.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78018","description":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78018","description":"THYROID CARCINOMA METASTASES IMG WHOLE BODY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":186.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.266,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES UPTAKE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78020","description":"THYROID CARCINOMA METASTASES UPTAKE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID CARCINOMA METASTASES UPTAKE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78020","description":"THYROID CARCINOMA METASTASES UPTAKE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.574,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84479","description":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84479","description":"THYROID HORM UPTK/THYROID HORMONE BINDING RATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.144,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.698,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID STIMULATING IMMUNE GLOBULINS TSI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84445","description":"THYROID STIMULATING IMMUNE GLOBULINS TSI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID STIMULATING IMMUNE GLOBULINS TSI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84445","description":"THYROID STIMULATING IMMUNE GLOBULINS TSI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.759,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.759,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78014","description":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78014","description":"THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":128.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60270","description":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":856.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60270","description":"THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":856.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60260","description":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60260","description":"THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":688.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":688.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60271","description":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60271","description":"THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":667.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60240","description":"THYROIDECTOMY TOTAL/COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60240","description":"THYROIDECTOMY TOTAL/COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":581.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":581.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60252","description":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":833.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60252","description":"THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":833.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":833.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60254","description":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1050.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60254","description":"THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1050.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1050.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80438","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80438","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.363,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"80439","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"80439","description":"THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.147,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.147,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15155","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT 1ST 25SQCM/","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":512.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":512.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15156","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT AD 1-75SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15157","description":"TIS CLTR SKN AGRFT F/S/N/H/F/G/M/DGT EACH ADDL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15152","description":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15152","description":"TISS CLTR SKIN AGRFT T/A/L EA ADD 100 SQCM/EA 1 PCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15150","description":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15150","description":"TISS CLTR SKIN AUTOGRAFT T/A/L 1ST 25 SQ CM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":449.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"15151","description":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"15151","description":"TISS CLTR SKIN AUTOGRAFT T/A/L ADDL 1-75 SQCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88237","description":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88237","description":"TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.5,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS SOLID TUMOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88239","description":"TISS CUL NEO DISORDERS SOLID TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NEO DISORDERS SOLID TUMOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88239","description":"TISS CUL NEO DISORDERS SOLID TUMOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":129.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":94.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":94.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88235","description":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88235","description":"TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.192,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.192,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88230","description":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88230","description":"TISS CUL NON-NEO DISORDERS LYMPHOCYTE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.509,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.552,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.552,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"88233","description":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"88233","description":"TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":123.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.064,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.064,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87220","description":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87220","description":"TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.736,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.762,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"19357","description":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":752.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"19357","description":"TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":752.917,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":752.917,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4648","description":"TISSUE MARKER IMPLANTABLE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86364","description":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"86364","description":"TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.142,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0970","description":"TLSO CORSET FRONT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO CORSET FRONT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0970","description":"TLSO CORSET FRONT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0456","description":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0456","description":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0454","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0454","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0455","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0455","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.937,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0450","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0450","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.053,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.053,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0457","description":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0457","description":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":986.293,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0974","description":"TLSO FULL CORSET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO FULL CORSET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0974","description":"TLSO FULL CORSET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L1200","description":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1984.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L1200","description":"TLSO INCLUSIVE FURNISHING INITIAL ORTHOSIS ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1984.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1984.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0490","description":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0490","description":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":280.544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":280.544,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0466","description":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0466","description":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":448.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0468","description":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0468","description":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.988,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.988,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0492","description":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0492","description":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":500.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":500.929,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0482","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1611.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1611.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0482","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1611.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1611.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0480","description":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1581.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1581.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0480","description":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1581.162,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1581.162,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0486","description":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1791.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1791.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0486","description":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1791.207,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1791.207,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0484","description":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1688.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1688.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0484","description":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1688.302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1688.302,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0458","description":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":884.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0458","description":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":884.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":884.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0460","description":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":995.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0460","description":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":995.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":995.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0462","description":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1238.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0462","description":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1238.193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1238.193,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0464","description":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1474.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1474.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0464","description":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1474.044,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1474.044,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0472","description":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0472","description":"TLSO TRIPLANAR HYPREXT RIGD ANT AND LAT FRME PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":458.546,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":458.546,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0470","description":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0470","description":"TLSO TRIPLANAR POST FRME and ANT APRON W/STRAP PRFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":645.733,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":645.733,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0491","description":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":761.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L0491","description":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":761.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":761.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69637","description":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":908.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69637","description":"TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":908.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":908.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69644","description":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":975.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69644","description":"TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":975.59,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":975.59,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69643","description":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69643","description":"TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":784.993,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":784.993,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69641","description":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69641","description":"TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69642","description":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":858.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69642","description":"TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":858.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":858.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27681","description":"TNOLS FLXR/XTNSR TDN LEG and /ANKLE MLT TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25295","description":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25295","description":"TNOLS FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27003","description":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27003","description":"TNOT ADDUCTOR SUBQ OPEN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24358","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24358","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24359","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24359","description":"TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":434.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25290","description":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25290","description":"TNOT FLXR/XTNSR TENDON FOREARM and /WRIST 1 EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99407","description":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99407","description":"TOBACCO USE CESSATION INTENSIVE  GT 10 MINUTES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.717,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.547,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOE LOOP/HOLDER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0952","description":"TOE LOOP/HOLDER ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOE LOOP/HOLDER ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0952","description":"TOE LOOP/HOLDER ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOILET RAIL EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0243","description":"TOILET RAIL EACH","negotiated_rates":[{"provider_references":[210414],"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":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41512","description":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":492.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":492.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":544.9691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":544.9691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":587.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":587.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":606.5603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":606.5603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":723.5971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":723.5971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41512","description":"TONGUE BASE SUSPENSION PERMANENT SUTURE TQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":428.6337,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":475.9628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":492.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":492.7635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":530.5065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":544.9691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":544.9691,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":587.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":587.622,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":606.5603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":606.5603,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":649.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":649.1465,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":723.5971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":723.5971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42820","description":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42820","description":"TONSILLECTOMY  and  ADENOIDECTOMY  LT AGE 12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.563,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42821","description":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42821","description":"TONSILLECTOMY  and  ADENOIDECTOMY AGE 12 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42825","description":"TONSILLECTOMY PRIMARY/SECONDARY  LT AGE 12","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42826","description":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42826","description":"TONSILLECTOMY PRIMARY/SECONDARY AGE 12 OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":167.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":167.365,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58200","description":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":856.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58200","description":"TOT ABD HYST W/PARAORTIC  and  PELVIC LYMPH NODE SAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":856.746,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":856.746,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58152","description":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":780.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58152","description":"TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":780.263,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":780.263,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOT DISC ARTHRP ART DISC ANT APPRO 1 NTRSPC CRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1020.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1020.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1098.1548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1098.1548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1107.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1107.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1217.4294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1217.4294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1321.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1321.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1339.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1339.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1483.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1483.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1612.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1612.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.5252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.5252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":352.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":352.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":920.6958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":920.6958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43107","description":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1830.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1830.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43107","description":"TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1830.686,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1830.686,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43108","description":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2697.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2697.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43108","description":"TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2697.926,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2697.926,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43113","description":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2644.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2644.675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43113","description":"TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2644.675,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2644.675,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43124","description":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2324.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2324.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43124","description":"TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2324.751,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2324.751,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58150","description":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58150","description":"TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":646.008,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1020.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1020.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1098.1548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1098.1548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1107.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1107.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1217.4294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1217.4294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1321.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1321.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1339.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1339.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1483.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1483.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1612.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1612.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.5252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.5252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":352.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":352.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":920.6958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":920.6958,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"22856","description":"TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1020.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1020.1637,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1098.1548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1098.1548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1107.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1107.4068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":113.3293,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1217.4294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1217.4294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1321.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1321.874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1339.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1339.7435,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.4133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1483.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1483.7014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1612.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1612.395,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":290.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":290.7882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":325.5252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":325.5252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":352.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":352.8805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":920.6958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":920.6958,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":1062.4158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1062.4158,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1133.3593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1133.3593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1150.2602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1150.2602,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1234.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1234.2635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1337.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1337.4388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1424.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1424.1476,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.7302,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1559.7886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1559.7886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":162.0946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1690.3193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1690.3193,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":173.4843,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":308.3905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":333.9422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":360.6629,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":971.699,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":971.699,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43112","description":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2089.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2089.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43112","description":"TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2089.34,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2089.34,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69955","description":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1252.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69955","description":"TOTAL FACIAL NERVE DECOMPRESSION  and /REPAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1252.119,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1252.119,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL LUNG LAVAGE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32997","description":"TOTAL LUNG LAVAGE UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL LUNG LAVAGE UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32997","description":"TOTAL LUNG LAVAGE UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":207.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL REPAIR TRUNCUS ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33786","description":"TOTAL REPAIR TRUNCUS ARTERIOSUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1383.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL REPAIR TRUNCUS ARTERIOSUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33786","description":"TOTAL REPAIR TRUNCUS ARTERIOSUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1383.294,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1383.294,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60225","description":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60225","description":"TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.301,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.301,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"60220","description":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.088,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"60220","description":"TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":451.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":451.088,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87230","description":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87230","description":"TOXIN/ANTITOXIN ASSAY TISSUE CULTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.632,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR FNGR AXH POS W/O MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26555","description":"TR FNGR AXH POS W/O MVASC ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR FNGR AXH POS W/O MVASC ANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26555","description":"TR FNGR AXH POS W/O MVASC ANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27105","description":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27105","description":"TR PARASPI MUSC HIP FASC/TDN XTN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":565.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":565.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26498","description":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":762.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26498","description":"TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":762.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":762.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26497","description":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26497","description":"TR TDN RESTORE INTRNSC FUNCJ RING AND SM FNGR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":589.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":589.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26551","description":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2094.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2094.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26551","description":"TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2094.279,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2094.279,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26553","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2080.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2080.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26553","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2080.089,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2080.089,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26554","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2418.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2418.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26554","description":"TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2418.922,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2418.922,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27100","description":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27100","description":"TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":540.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27691","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":484.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27692","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":64.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27690","description":"TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":417.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26480","description":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26480","description":"TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31612","description":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31612","description":"TRACHEAL PNXR PERQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR and /NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31612","description":"TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR and /NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4605","description":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4605","description":"TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.155,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4624","description":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4624","description":"TRACHEAL SUCTN CATH TYPE OTH THAN CLOS SYS EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.102,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.102,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57530","description":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57530","description":"TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57720","description":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57720","description":"TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":215.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":215.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRNCHSC THRU EST TRACHS INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31615","description":"TRACHEOBRNCHSC THRU EST TRACHS INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31615","description":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31615","description":"TRACHEOBRONCHOSCOPY THRU EST TRACHEOSTOMY INC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31750","description":"TRACHEOPLASTY CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":872.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31750","description":"TRACHEOPLASTY CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":872.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":872.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31760","description":"TRACHEOPLASTY INTRATHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY INTRATHORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31760","description":"TRACHEOPLASTY INTRATHORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":849.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1122.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1122.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31755","description":"TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1122.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1122.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7521","description":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7521","description":"TRACHEOST/LARYNGECT TUBE CUFFD PVC SILICONE/ Equal to  EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.773,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7520","description":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7520","description":"TRACHEOST/LARYNGECT TUBE NON-CUFFED POLYVINYLCHL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7522","description":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7522","description":"TRACHEOST/LARYNGECT TUBE STNLESS STEEL/EQUAL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.652,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.979,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.979,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4481","description":"TRACHEOSTOMA FILTER ANY TYPE ANY SIZE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31614","description":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31614","description":"TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":459.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":459.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31613","description":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31613","description":"TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7524","description":"TRACHEOSTOMA STENT/STUD/BUTTON EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7501","description":"TRACHEOSTOMA VALVE INCLUDING DIAPHRAGM EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4629","description":"TRACHEOSTOMY CARE KIT ESTABLISHED TRACHEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.006,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.853,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4625","description":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4625","description":"TRACHEOSTOMY CARE KIT FOR NEW TRACHEOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY CLEANING BRUSH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4626","description":"TRACHEOSTOMY CLEANING BRUSH EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31605","description":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31605","description":"TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":204.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31603","description":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31603","description":"TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":198.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31610","description":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31610","description":"TRACHEOSTOMY FENESTRATION W/SKIN FLAPS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.548,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.548,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY INNER CANNULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4623","description":"TRACHEOSTOMY INNER CANNULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY INNER CANNULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4623","description":"TRACHEOSTOMY INNER CANNULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.724,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY MASK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7525","description":"TRACHEOSTOMY MASK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY MASK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7525","description":"TRACHEOSTOMY MASK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31600","description":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31600","description":"TRACHEOSTOMY PLANNED SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":189.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":189.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31601","description":"TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":282.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":282.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SPEAKING VALVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8501","description":"TRACHEOSTOMY SPEAKING VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SPEAKING VALVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8501","description":"TRACHEOSTOMY SPEAKING VALVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY SUPPLY NOT OTHERWISE CLASSIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S8189","description":"TRACHEOSTOMY SUPPLY NOT OTHERWISE CLASSIFIED","negotiated_rates":[{"provider_references":[210414],"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":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7526","description":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7526","description":"TRACHEOSTOMY TUBE COLLAR/HOLDER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7527","description":"TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31502","description":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31502","description":"TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.593,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQUIPMENT OVERDOOR CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0860","description":"TRACTION EQUIPMENT OVERDOOR CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION EQUIPMENT OVERDOOR CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0860","description":"TRACTION EQUIPMENT OVERDOOR CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.74,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.74,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0890","description":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0890","description":"TRACTION FRAME ATTCH FOOTBOARD PELVIC TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0870","description":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0870","description":"TRACTION FRAME ATTCH TO FOOTBOARD EXTREM TRACTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":147.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":178.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0840","description":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0840","description":"TRACTION FRAME ATTCH TO HEADBOARD CERV TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.607,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.317,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.317,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0880","description":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0880","description":"TRACTION STAND FREE STANDING EXTREMITY TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0900","description":"TRACTION STAND FREESTANDING PELVIC TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRACTION STAND FREESTANDING PELVIC TRACTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0900","description":"TRACTION STAND FREESTANDING PELVIC TRACTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":162.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":162.283,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":196.944,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":196.944,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3620","description":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3620","description":"TRANS ORTHOS 1 SHOE-ANOTHER SLD STIRRUP EXISTING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":75.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS PRTBL X-RAY EQP and PERS HOM/NRS HOM-TRIP 1 PT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"R0070","description":"TRANS PRTBL X-RAY EQP and PERS HOM/NRS HOM-TRIP 1 PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANS PRTBL X-RAY EQP and PERS HOM/NRS HOM-TRIP 1 PT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"R0070","description":"TRANS PRTBL X-RAY EQP and PERS HOM/NRS HOM-TRIP 1 PT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":141.647,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":141.647,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59070","description":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59070","description":"TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":437.899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":437.899,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37200","description":"TRANSCATHETER BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37200","description":"TRANSCATHETER BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75970","description":"TRANSCATHETER BIOPSY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75970","description":"TRANSCATHETER BIOPSY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.963,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.963,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75894","description":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75894","description":"TRANSCATHETER EMBOLIZATION ANY METH RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.023,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":210.8599,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":231.1008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":244.2608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":249.5381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":264.9359,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":284.6091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74742","description":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74742","description":"TRANSCERVICAL CATHJ FALLOPIAN TUBE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61596","description":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1544.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1544.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61596","description":"TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1544.488,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1544.488,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93893","description":"TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":185.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":222.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93892","description":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93892","description":"TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93886","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93886","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":142.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":142.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93888","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93888","description":"TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"47460","description":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"47460","description":"TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":798.149,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33922","description":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":855.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33922","description":"TRANSECTION PULMONARY ARTERY W/CARD BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":855.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":855.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64742","description":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64742","description":"TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.54,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64744","description":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64744","description":"TRANSECTION/AVULSION GREATER OCCIPITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.582,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64738","description":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64738","description":"TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":291.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":291.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INFRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64734","description":"TRANSECTION/AVULSION INFRAORBITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION INFRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64734","description":"TRANSECTION/AVULSION INFRAORBITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":335.951,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":335.951,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION LINGUAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64740","description":"TRANSECTION/AVULSION LINGUAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION LINGUAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64740","description":"TRANSECTION/AVULSION LINGUAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":298.947,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION MENTAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64736","description":"TRANSECTION/AVULSION MENTAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION MENTAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64736","description":"TRANSECTION/AVULSION MENTAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":217.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64771","description":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64771","description":"TRANSECTION/AVULSION OTH CRANIAL NRV XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":394.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64772","description":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64772","description":"TRANSECTION/AVULSION OTH SPINAL NRV XDRL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":361.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64746","description":"TRANSECTION/AVULSION PHRENIC NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION PHRENIC NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64746","description":"TRANSECTION/AVULSION PHRENIC NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":273.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64732","description":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64732","description":"TRANSECTION/AVULSION SUPRAORBITAL NERVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64760","description":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64760","description":"TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64755","description":"TRANSECTION/AVULSION VAGUS NERVES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSECTION/AVULSION VAGUS NERVES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64755","description":"TRANSECTION/AVULSION VAGUS NERVES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":580.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":580.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSER DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0705","description":"TRANSER DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSER DEVICE ANY TYPE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0705","description":"TRANSER DEVICE ANY TYPE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ADDUCTOR ISCHIUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27098","description":"TRANSFER ADDUCTOR ISCHIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ADDUCTOR ISCHIUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27098","description":"TRANSFER ADDUCTOR ISCHIUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":454.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":454.795,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.894,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":355.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":355.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0247","description":"TRANSFER BENCH TUB/TOILET W/WO COMMODE OPENING","negotiated_rates":[{"provider_references":[210414],"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":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26556","description":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2165.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2165.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26556","description":"TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2165.416,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2165.416,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS FEMORAL NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27111","description":"TRANSFER ILIOPSOAS FEMORAL NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS FEMORAL NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27111","description":"TRANSFER ILIOPSOAS FEMORAL NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.761,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27110","description":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":627.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27110","description":"TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":627.704,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.704,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27400","description":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27400","description":"TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":455.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":455.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26489","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26489","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":626.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"26485","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"26485","description":"TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":547.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":547.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ALANINE AMINO ALT SGPT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84460","description":"TRANSFERASE ALANINE AMINO ALT SGPT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ALANINE AMINO ALT SGPT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84460","description":"TRANSFERASE ALANINE AMINO ALT SGPT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.664,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ASPARTATE AMINO AST SGOT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84450","description":"TRANSFERASE ASPARTATE AMINO AST SGOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFERASE ASPARTATE AMINO AST SGOT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84450","description":"TRANSFERASE ASPARTATE AMINO AST SGOT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.554,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION BLOOD/BLOOD COMPONENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36430","description":"TRANSFUSION BLOOD/BLOOD COMPONENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION BLOOD/BLOOD COMPONENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36430","description":"TRANSFUSION BLOOD/BLOOD COMPONENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION INTRAUTERINE FETAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36460","description":"TRANSFUSION INTRAUTERINE FETAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSFUSION INTRAUTERINE FETAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36460","description":"TRANSFUSION INTRAUTERINE FETAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":213.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":213.213,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":287.2477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":287.2477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":311.1962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":311.1962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":345.1983,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":345.1983,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":223.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":223.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":242.1899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":242.1899,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":269.1445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":269.1445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMASTOID ANTROTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69501","description":"TRANSMASTOID ANTROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMASTOID ANTROTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69501","description":"TRANSMASTOID ANTROTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":457.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":457.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25927","description":"TRANSMETACARPAL AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25927","description":"TRANSMETACARPAL AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":561.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":561.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25931","description":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25931","description":"TRANSMETACARPAL AMPUTATION RE-AMPUTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":520.179,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"25929","description":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.525,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"25929","description":"TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.525,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.525,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6259","description":"TRANSPARENT FILM STERL  GT  48 SQ IN EA DRESSING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.892,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6257","description":"TRANSPARENT FILM STERL 16 SQ IN OR LESS EA DRESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.815,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63057","description":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63057","description":"TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":199.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":199.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":943.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63056","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":943.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":943.514,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63055","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1028.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63055","description":"TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1028.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1028.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"55875","description":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":503.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":503.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":539.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":539.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":570.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":570.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":582.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":582.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":607.2952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":607.2952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":634.3833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":634.3833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":653.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":653.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":676.3014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":676.3014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":729.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":729.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"55875","description":"TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":503.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":503.4518,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":539.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":539.6249,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":570.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":570.2536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":582.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":582.9125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":607.2952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":607.2952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":634.3833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":634.3833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":653.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":653.0544,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":676.3014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":676.3014,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":729.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":729.1082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27396","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27396","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":405.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27397","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27397","description":"TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":594.814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":594.814,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"48554","description":"TRANSPLANTATION PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1681.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1681.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPLANTATION PANCREATIC ALLOGRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"48554","description":"TRANSPLANTATION PANCREATIC ALLOGRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1681.009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1681.009,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPORTATION ANCILLARY: PARKING FEES TOLLS OTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A0170","description":"TRANSPORTATION ANCILLARY: PARKING FEES TOLLS OTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58825","description":"TRANSPOSITION OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":450.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPOSITION OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58825","description":"TRANSPOSITION OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":450.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":450.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61598","description":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1799.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1799.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61598","description":"TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1799.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1799.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"45000","description":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"45000","description":"TRANSRECTAL DRAINAGE OF PELVIC ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":275.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93293","description":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93293","description":"TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.635,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61595","description":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1516.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61595","description":"TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1516.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33621","description":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":748.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":748.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":812.7107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":812.7107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":820.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":820.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":881.1157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":881.1157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":889.2322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":889.2322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":957.1696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":957.1696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33621","description":"TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":665.9805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":727.1376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":748.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":748.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":783.6853,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":812.7107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":812.7107,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":820.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":820.2259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":881.1157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":881.1157,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":889.2322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":889.2322,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":957.1696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":957.1696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSTRACHEAL OXYGEN CATHETER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4608","description":"TRANSTRACHEAL OXYGEN CATHETER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50770","description":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50770","description":"TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL INCISION PROSTATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52450","description":"TRANSURETHRAL INCISION PROSTATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL INCISION PROSTATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52450","description":"TRANSURETHRAL INCISION PROSTATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":305.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":305.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL RESECTION BLADDER NECK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52500","description":"TRANSURETHRAL RESECTION BLADDER NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSURETHRAL RESECTION BLADDER NECK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52500","description":"TRANSURETHRAL RESECTION BLADDER NECK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVESICAL URETROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51060","description":"TRANSVESICAL URETROLITHOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRANSVESICAL URETROLITHOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51060","description":"TRANSVESICAL URETROLITHOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":372.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":372.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24605","description":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24605","description":"TREATMENT CLOSED ELBOW DISLOCATION REQ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":317.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":317.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24600","description":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24600","description":"TREATMENT CLOSED ELBOW DISLOCATION W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":255.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33468","description":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1488.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1488.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33468","description":"TRICUSPID VALVE RPSG AND PLCTJ EBSTEIN ANOMALY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1488.982,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1488.982,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIIODOTHYRONINE T3 REVERSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84482","description":"TRIIODOTHYRONINE T3 REVERSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIIODOTHYRONINE T3 REVERSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84482","description":"TRIIODOTHYRONINE T3 REVERSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.088,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11719","description":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11719","description":"TRIMMING NONDYSTROPHIC NAILS ANY NUMBER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.251,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66175","description":"TRLUML DILAT AQUEOUS CANAL W/DEVICE/STENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":592.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":592.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":646.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":646.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":711.7732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":711.7732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.5072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.5072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":421.2522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":421.2522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.2087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.2087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":497.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":497.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"66175","description":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":592.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":592.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":646.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":646.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":711.7732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":711.7732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"66175","description":"TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":128.2595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":138.0125,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":152.1077,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":400.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":439.4556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":464.7067,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":483.6116,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":508.4619,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":559.6655,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":592.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":592.9662,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":646.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":646.4744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":711.7732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":711.7732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.5072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.5072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":421.2522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":421.2522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.2087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.2087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":497.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":497.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":351.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":351.3775,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":380.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":380.2024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.5072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.5072,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":421.2522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":421.2522,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":449.2087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":449.2087,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":495.4355,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":497.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":497.306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":543.633,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":600.6484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPH ATHRC W/RS and I ABDOM AORTA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0236T","description":"TRLUML PERIPH ATHRC W/RS and I ABDOM AORTA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPH ATHRC W/RS and I BRCHIOCPHL EA VSL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0237T","description":"TRLUML PERIPH ATHRC W/RS and I BRCHIOCPHL EA VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPH ATHRC W/RS and I BRCHIOCPHL EA VSL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0237T","description":"TRLUML PERIPH ATHRC W/RS and I BRCHIOCPHL EA VSL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"0238T","description":"TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0238T","description":"TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0234T","description":"TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRLUML PERIPHERAL ATHERECTOMY VISCERAL ARTERY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"0235T","description":"TRLUML PERIPHERAL ATHERECTOMY VISCERAL ARTERY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61597","description":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1840.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1840.146,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61597","description":"TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1840.146,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1840.146,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0248","description":"TRNSF BENCH HEVY DUTY TUB/TOILET W/WO COMMODE OP","negotiated_rates":[{"provider_references":[210414],"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":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38209","description":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38209","description":"TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38207","description":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38207","description":"TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38240","description":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38240","description":"TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":154.198,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"38241","description":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"38241","description":"TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":113.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":113.696,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6258","description":"TRNSPRT FILM STERL  GT 16 SQ BUT LT or equal to  48 SQ EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61575","description":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1574.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1574.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61575","description":"TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1574.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1574.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61576","description":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2643.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2643.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61576","description":"TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2643.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2643.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64766","description":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64766","description":"TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":406.274,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"64763","description":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"64763","description":"TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":330.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61611","description":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61611","description":"TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSEL SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50100","description":"TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":682.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35695","description":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35695","description":"TRPOS and /RIMPLTJ CAROTID SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":618.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":618.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35694","description":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35694","description":"TRPOS and /RIMPLTJ SUBCLAVIAN CAROTID ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35691","description":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35691","description":"TRPOS and /RIMPLTJ VERTEBRAL CAROTID ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":570.757,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":570.757,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"35693","description":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"35693","description":"TRPOS and /RIMPLTJ VERTEBRAL SUBCLAVIAN ART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":508.453,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":508.453,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DRAINAGE PROSTATIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52700","description":"TRURL DRAINAGE PROSTATIC ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DRAINAGE PROSTATIC ABSCESS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52700","description":"TRURL DRAINAGE PROSTATIC ABSCESS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":283.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":283.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53850","description":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":902.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53850","description":"TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":902.594,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":902.594,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":880.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53852","description":"TRURL DSTRJ PRSTATE TISS RF THERMOTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":880.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":880.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52601","description":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52601","description":"TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":461.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":461.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52640","description":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52640","description":"TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":210.122,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"52630","description":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"52630","description":"TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":261.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":261.734,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":153.6441,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":175.8557,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1821.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1821.0171,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":184.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":184.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2008.0621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2008.0621,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":204.9145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2071.0896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2071.0896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":211.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":211.0269,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2192.4351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2192.4351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2280.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2280.7805,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2400.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2400.2555,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":245.8974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":245.8974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2491.8073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2491.8073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2640.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2640.2409,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":2886.1384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":2886.1384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8330","description":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8330","description":"TRUSS ADDITION TO STANDARD PAD SCROTAL PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD WATER PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8320","description":"TRUSS ADDITION TO STANDARD PAD WATER PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS ADDITION TO STANDARD PAD WATER PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8320","description":"TRUSS ADDITION TO STANDARD PAD WATER PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.562,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.562,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS DOUBLE WITH STANDARD PADS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8310","description":"TRUSS DOUBLE WITH STANDARD PADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS DOUBLE WITH STANDARD PADS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8310","description":"TRUSS DOUBLE WITH STANDARD PADS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.577,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS SINGLE WITH STANDARD PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8300","description":"TRUSS SINGLE WITH STANDARD PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRUSS SINGLE WITH STANDARD PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L8300","description":"TRUSS SINGLE WITH STANDARD PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":106.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":106.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84490","description":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84490","description":"TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.352,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.734,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.734,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95921","description":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95921","description":"TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95922","description":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95922","description":"TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"31730","description":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":678.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"31730","description":"TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":678.7,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.7,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUB STOOL OR BENCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0245","description":"TUB STOOL OR BENCH","negotiated_rates":[{"provider_references":[210414],"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":"TUBE THORACOSTOMY INCLUDES WATER SEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"32551","description":"TUBE THORACOSTOMY INCLUDES WATER SEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBE THORACOSTOMY INCLUDES WATER SEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"32551","description":"TUBE THORACOSTOMY INCLUDES WATER SEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"44015","description":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"44015","description":"TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.768,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7037","description":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7037","description":"TUBING USED WITH POSITIVE AIRWAY PRESSURE DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.646,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7002","description":"TUBING USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING USED WITH SUCTION PUMP EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7002","description":"TUBING USED WITH SUCTION PUMP EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4604","description":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4604","description":"TUBING W/INTGR HEAT ELEM W/POS AIRWAY PRESS DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TUBOTUBAL ANASTATOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58750","description":"TUBOTUBAL ANASTATOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":552.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":552.6513,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":598.8781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":598.8781,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":645.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":645.272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":732.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":732.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":794.8078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":794.8078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":853.8272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":853.8272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":521.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":521.9225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":563.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":563.707,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":604.2891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":604.2891,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":619.4531,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":666.5484,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":715.4139,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":732.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":732.7823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":794.8078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":794.8078,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":853.8272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":853.8272,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWELVE VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L7364","description":"TWELVE VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWELVE VOLT BATTERY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7364","description":"TWELVE VOLT BATTERY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":527.417,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":527.417,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61108","description":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61108","description":"TWIST DRILL HOLE EVAC and /DRG SUBDURAL HEMATOMA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":582.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":582.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61107","description":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61107","description":"TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":192.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61105","description":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61105","description":"TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":302.643,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61850","description":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61850","description":"TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.97,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.97,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27003","description":"TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":393.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":393.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"46280","description":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"46280","description":"TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":312.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":312.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77334","description":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77334","description":"TX DEVICES DESIGN  AND  CONSTRUCTION COMPLEX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":125.5874,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":139.3486,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":158.0197,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":61.4577,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":70.3423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":81.9658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77333","description":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77333","description":"TX DEVICES DESIGN  AND  CONSTRUCTION INTERMEDIATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":90.882,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"77332","description":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"77332","description":"TX DEVICES DESIGN  AND  CONSTRUCTION SIMPLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59130","description":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1035.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59130","description":"TX ECTOPIC PREGNANCY ABDL PREGNANCY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1035.837,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1035.837,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59120","description":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59120","description":"TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":893.904,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":893.904,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59140","description":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59140","description":"TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":460.361,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":460.361,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59136","description":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":982.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59136","description":"TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":982.938,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":982.938,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59121","description":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":894.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59121","description":"TX ECTOPIC PREGNANCY W/O SALPING and /OOPHORECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":894.025,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":894.025,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24516","description":"TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"24516","description":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"24516","description":"TX HUMRL SHFT FX W/INSJ IMED IMPLT W/WO CERCLAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.16,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.16,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59812","description":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59812","description":"TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":402.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27245","description":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27245","description":"TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":787.259,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":787.259,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27244","description":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27244","description":"TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":788.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":788.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59820","description":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59820","description":"TX MISSED ABORTION FIRST TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":490.534,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":490.534,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59821","description":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59821","description":"TX MISSED ABORTION SECOND TRIMESTER SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":481.833,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":481.833,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28232","description":"TX OPEN TENDON FLEXOR TOE 1 TENDON SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":244.673,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28230","description":"TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":281.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":281.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SEPTIC ABORTION SURGICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59830","description":"TX SEPTIC ABORTION SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SEPTIC ABORTION SURGICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59830","description":"TX SEPTIC ABORTION SURGICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":511.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":511.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27176","description":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27176","description":"TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":597.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27175","description":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27175","description":"TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":433.411,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ  and /AUDITORY PROC IND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ  and /AUDITORY PROC IND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92508","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO GROUP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92507","description":"TX SPEECH LANG VOICE COMMJ and /AUD PROC DO INDIV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92508","description":"TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2 OR GT INDIV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27257","description":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27257","description":"TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":232.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27256","description":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27256","description":"TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":206.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":206.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12020","description":"TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.909,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"12021","description":"TX SUPERFICIAL WOUND DEHISCENCE W/PACKING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.312,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92526","description":"TX SWALLOWING DYSFUNCTION and /ORAL FUNCJ FEEDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28455","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/MNPJ EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":170.852,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":170.852,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCN W/O MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"28450","description":"TX TARSAL BONE FX XCP TALUS and CALCNS W/O MNPJ EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":143.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"27759","description":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"27759","description":"TX TIBL SHFT FX IMED IMPLT W/WO SCREWS and /CERCLA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69610","description":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69610","description":"TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":247.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69676","description":"TYMPANIC NEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANIC NEURECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69676","description":"TYMPANIC NEURECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":537.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOLYSIS TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69450","description":"TYMPANOLYSIS TRANSCANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOLYSIS TRANSCANAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69450","description":"TYMPANOLYSIS TRANSCANAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":354.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"TYMPANOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92567","description":"TYMPANOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69645","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":958.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69645","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":958.111,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":958.111,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69646","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1012.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69646","description":"TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1012.187,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1012.187,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69633","description":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":678.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69633","description":"TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":678.282,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.282,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69631","description":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69631","description":"TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":573.628,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69436","description":"TYMPANOSTOMY GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY GENERAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69436","description":"TYMPANOSTOMY GENERAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":104.038,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69433","description":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69433","description":"TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":131.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69632","description":"TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":696.168,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":696.168,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69635","description":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69635","description":"TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69636","description":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":912.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69636","description":"TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":912.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":912.472,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.595,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.595,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.595,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Thrombomodulin","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85337","description":"Thrombomodulin","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.056,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Thyroglobulin antibody","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"86800","description":"Thyroglobulin antibody","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.003,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tlso corset front","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0970","description":"Tlso corset front","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.581,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tlso full corset","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L0974","description":"Tlso full corset","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":175.989,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tracheostomy speaking valve","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L8501","description":"Tracheostomy speaking valve","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":153.912,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter biopsy","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37200","description":"Transcatheter biopsy","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":132.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRALIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0005","description":"ULTRALIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2774.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2774.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRALIGHTWEIGHT WHEELCHAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"K0005","description":"ULTRALIGHTWEIGHT WHEELCHAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2774.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2774.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC GUIDANCE INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76998","description":"ULTRASONIC GUIDANCE INTRAOPERATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASONIC GUIDANCE INTRAOPERATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76998","description":"ULTRASONIC GUIDANCE INTRAOPERATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.969,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.954,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.954,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76800","description":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76800","description":"ULTRASOUND SPINAL CANAL  AND  CONTENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":79.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"49250","description":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"49250","description":"UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":381.183,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNCLASSIFIED BIOLOGICS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3590","description":"UNCLASSIFIED BIOLOGICS","negotiated_rates":[{"provider_references":[210414],"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":"UNCLASSIFIED DRUGS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"J3490","description":"UNCLASSIFIED DRUGS","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.604,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.934,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.934,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNDERARM PAD CRUTCH REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A4635","description":"UNDERARM PAD CRUTCH REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNDERARM PAD CRUTCH REPLACEMENT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4635","description":"UNDERARM PAD CRUTCH REPLACEMENT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.028,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLIST MODALITY SPEC TYPE AND TIME CONSTANT ATTEND","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97039","description":"UNLIST MODALITY SPEC TYPE AND TIME CONSTANT ATTEND","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95199","description":"UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED CHEMOTHERAPY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96549","description":"UNLISTED CHEMOTHERAPY PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"91299","description":"UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"90999","description":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"90999","description":"UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.406,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.406,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.406,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97039","description":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97039","description":"UNLISTED MODALITY SPEC TYPE and TIME CONSTANT ATTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.578,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95999","description":"UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PREVENTIVE MEDICINE SERVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99429","description":"UNLISTED PREVENTIVE MEDICINE SERVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.338,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PREVENTIVE MEDICINE SERVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99429","description":"UNLISTED PREVENTIVE MEDICINE SERVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.338,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.338,"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":[210414],"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 PX SKIN MUC MEMBRANE  AND  SUBQ TISSUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"17999","description":"UNLISTED PX SKIN MUC MEMBRANE  AND  SUBQ TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED PX SKIN MUC MEMBRANE  AND  SUBQ TISSUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"17999","description":"UNLISTED PX SKIN MUC MEMBRANE  AND  SUBQ TISSUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"96999","description":"UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNUSUAL TRAVEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"99082","description":"UNUSUAL TRAVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UNUSUAL TRAVEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"99082","description":"UNUSUAL TRAVEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6677","description":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6677","description":"UP EXT ADD HARNESS 3 CNTRL SIMULTAN OP DEVC AND ELB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":294.745,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":294.745,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6638","description":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2484.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2484.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6638","description":"UP EXT ADD PROS ELEC LOCK ONLY W/MNL PWR ELB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2484.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2484.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6646","description":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3133.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3133.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6646","description":"UP EXT ADD SHLDR JNT MX PSTN W/BDY/EXT PWR SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3133.823,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3133.823,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6623","description":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6623","description":"UP EXT ADD SPRNG ASST ROTATL WRST U W/LATCH RLSE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":728.838,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":728.838,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6616","description":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6616","description":"UP EXTREM ADD DISCNCT INSERT LOCK WRST U EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6647","description":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6647","description":"UP EXTREM ADD SHLDR LOCK MECH BDY PWR ACTUATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":515.9,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6648","description":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3232.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3232.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6648","description":"UP EXTREM ADD SHLDR LOCK MECH EXT PWR ACTUATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3232.086,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3232.086,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6680","description":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6680","description":"UP EXTREM ADD TST SOCKT WRST DISARTIC/BELW ELB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":240.779,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3980","description":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3980","description":"UP EXTREM FX ORTHOSIS HUM PREFABR INCL FIT AND ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":287.386,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":287.386,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3984","description":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3984","description":"UP EXTREM FX ORTHOSIS WRST PREFAB INCL FIT  AND  ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":333.971,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":333.971,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6621","description":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2272.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2272.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6621","description":"UP EXTREM PROS ADD FLEXION/EXTENSION WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2272.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2272.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6687","description":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6687","description":"UP EXTRM ADD FRME TYPE SCKT BELW ELB/WRST DISRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":583.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":583.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6688","description":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":714.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6688","description":"UP EXTRM ADD FRME TYPE SOCKT ABVE ELB/ELB DISRTC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":714.89,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":714.89,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6628","description":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6628","description":"UP EXTRM ADD QUICK DISCNCT HOOK OTTO BOCK/ Equal to","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":585.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6629","description":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6629","description":"UP EXTRM ADD QUICK DISCNCT LAMINATION COLLR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":148.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":148.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6684","description":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6684","description":"UP EXTRM ADD TST SCKT SHLDR DISRTC/INTRSCAP THOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.37,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.37,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3982","description":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3982","description":"UP EXTRM FX ORTHOS RADUS/ULNAR PREFAB W/FIT and ADJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":347.05,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":347.05,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33214","description":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33214","description":"UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":297.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6620","description":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6620","description":"UPPER EXT ADD FLEX/EXT WRIST UNIT W/WO FRICTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":338.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":338.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6692","description":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6692","description":"UPPER EXT ADD SIL GEL INSERT/ Equal to L W/WO LKG MECH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6615","description":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6615","description":"UPPER EXTREM ADD DISCONNECT LOCKING WRST UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":216.315,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6642","description":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6642","description":"UPPER EXTREM ADD EXCURSION AMPLIFIER LEVER TYPE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":235.07,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":235.07,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6641","description":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6641","description":"UPPER EXTREM ADD EXCURSIONUPPER EXTREM ADD EXCUR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6690","description":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":927.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6690","description":"UPPER EXTREM ADD FRAME TYPE SOCKT INTERSCAP-THOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":927.927,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":927.927,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6689","description":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6689","description":"UPPER EXTREM ADD FRAME TYPE SOCKT SHLDR DISARTIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6672","description":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6672","description":"UPPER EXTREM ADD HARNESS CHST/SHLUPPER EXTREM AD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":195.932,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":195.932,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6693","description":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2820.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2820.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6693","description":"UPPER EXTREM ADD LOCK ELB FORARM COUNTERBALANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2820.84,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2820.84,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6625","description":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6625","description":"UPPER EXTREM ADD ROTATION WRST UNIT W/CABLE LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":623.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":623.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6655","description":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6655","description":"UPPER EXTREM ADD STANDARD CONTROL CABLE EXTRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.376,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.376,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6682","description":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6682","description":"UPPER EXTREM ADD TST SOCKT ELB DISARTIC/ABVE ELB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":306.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":306.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6660","description":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6660","description":"UPPER EXTREM ADDITION HEAVY DUTY CONTROL CABLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.305,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6632","description":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6632","description":"UPPER EXTREM ADDITION LATEX SUSPENSION SLEEVE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.758,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6645","description":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6645","description":"UPPER EXTREM ADDITION SHLDR FLEX-ABDUCT JOINT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6650","description":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6650","description":"UPPER EXTREM ADDITION SHLDR UNIVERSAL JOINT EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":346.049,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":346.049,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION SILCON GEL INSERT/EQUAL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6692","description":"UPPER EXTREM ADDITION SILCON GEL INSERT/EQUAL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6630","description":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6630","description":"UPPER EXTREM ADDITION STAINLESS STEEL ANY WRIST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":218.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6665","description":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6665","description":"UPPER EXTREM ADDITION TEFLON/EQUAL CABLE LINING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.896,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6610","description":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6610","description":"UPPER EXTREMITY ADD FLEXIBLE METAL HINGE PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":176.99,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6624","description":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3742.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3742.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6624","description":"UPPER EXTREMITY ADD FLX/EXT ROTATION WRIST UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3742.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3742.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6676","description":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6676","description":"UPPER EXTREMITY ADD HARNESS DUAL CABLE DESIGN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.424,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6675","description":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6675","description":"UPPER EXTREMITY ADD HARNESS SINGLE CABLE DESIGN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":121.55,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":121.55,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6640","description":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6640","description":"UPPER EXTREMITY ADD SHOULDER ABDUCT JOINT PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":348.678,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":348.678,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6605","description":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6605","description":"UPPER EXTREMITY ADD SINGLE PIVOT HINGE PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":194.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":194.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6670","description":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6670","description":"UPPER EXTREMITY ADDITION HOOK HAND CABLE ADAPTER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6635","description":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6635","description":"UPPER EXTREMITY ADDITION LIFT ASSIST FOR ELBOW","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":191.235,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6637","description":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6637","description":"UPPER EXTREMITY ADDITION NUDGE CONTROL ELB LOCK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":439.769,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":439.769,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6691","description":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6691","description":"UPPER EXTREMITY ADDITION REMOVABLE INSERT EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":401.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":401.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6686","description":"UPPER EXTREMITY ADDITION SUCTION SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":672.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITION SUCTION SOCKET","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6686","description":"UPPER EXTREMITY ADDITION SUCTION SOCKET","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":672.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":672.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6600","description":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6600","description":"UPPER EXTREMITY ADDITIONS POLYCENTRIC HINGE PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY PROSTHESIS NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L7499","description":"UPPER EXTREMITY PROSTHESIS NOS","negotiated_rates":[{"provider_references":[210414],"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":"UPPER LIMB ORTHOSIS NOT OTHERWISE SPECIFIED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3999","description":"UPPER LIMB ORTHOSIS NOT OTHERWISE SPECIFIED","negotiated_rates":[{"provider_references":[210414],"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":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78267","description":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78267","description":"UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78268","description":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78268","description":"UREA BREATH TEST C-14 ISOTOPIC ANALYSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.083,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.083,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA NITROGEN CLEARANCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84545","description":"UREA NITROGEN CLEARANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UREA NITROGEN CLEARANCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84545","description":"UREA NITROGEN CLEARANCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.608,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.336,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50976","description":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50976","description":"URETERAL ENDOSC VIA URETEROT W/DEST and /INC W/WO BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.905,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50961","description":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50961","description":"URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.578,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50953","description":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50953","description":"URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50951","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50951","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":243.848,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50955","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50955","description":"URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":274.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":274.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50974","description":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50974","description":"URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50970","description":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50970","description":"URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":230.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":230.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50957","description":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50957","description":"URETERAL ENDOSCOPY W/DEST and /INC W/WO BIOPSY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78740","description":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78740","description":"URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":122.54,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":139.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":139.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50660","description":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":720.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50660","description":"URETERECTOMY TOT ECTOPIC URETER CMBN APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":720.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":720.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50750","description":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50750","description":"URETEROCALYCOSTOMY ANAST URETER RENAL CALYX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50815","description":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":773.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50815","description":"URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":773.685,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":773.685,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROENTEROSTOMY ANAST URETER INTESTINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50800","description":"URETEROENTEROSTOMY ANAST URETER INTESTINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROENTEROSTOMY ANAST URETER INTESTINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50800","description":"URETEROENTEROSTOMY ANAST URETER INTESTINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.936,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50820","description":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50820","description":"URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":827.343,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":827.343,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50722","description":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50722","description":"URETEROLYSIS FOR OVARIAN VEIN SYNDROME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":643.126,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":643.126,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50715","description":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50715","description":"URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50780","description":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50780","description":"URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":702.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":702.13,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50782","description":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":678.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50782","description":"URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":678.491,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":678.491,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50783","description":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50783","description":"URETERONEOCYSTOSTOMY W/URETERAL TAILORING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPLASTY PLASTIC OPERATION URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50700","description":"URETEROPLASTY PLASTIC OPERATION URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPLASTY PLASTIC OPERATION URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50700","description":"URETEROPLASTY PLASTIC OPERATION URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50740","description":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50740","description":"URETEROPYELOSTOMY ANAST URETER RENAL PELVIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":771.221,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":771.221,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50900","description":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50900","description":"URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":534.985,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":534.985,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50810","description":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":886.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50810","description":"URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER  and  COLOSTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":886.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":886.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSTOMY TRANSPLANTATION URETER SKIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50860","description":"URETEROSTOMY TRANSPLANTATION URETER SKIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROSTOMY TRANSPLANTATION URETER SKIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50860","description":"URETEROSTOMY TRANSPLANTATION URETER SKIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":598.719,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":598.719,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50605","description":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50605","description":"URETEROTOMY INSERTION INDWELLING STENT ALL TYPES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":633.468,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":633.468,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROURETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50760","description":"URETEROURETEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETEROURETEROSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50760","description":"URETEROURETEROSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":710.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53210","description":"URETHRECTOMY TOT W/CYSTOST FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53210","description":"URETHRECTOMY TOT W/CYSTOST FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":496.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":496.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST MALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53215","description":"URETHRECTOMY TOT W/CYSTOST MALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRECTOMY TOT W/CYSTOST MALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53215","description":"URETHRECTOMY TOT W/CYSTOST MALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":586.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":586.795,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74450","description":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74450","description":"URETHROCYSTOGRAPHY RETROGRADE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.514,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.856,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY VOIDING RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74455","description":"URETHROCYSTOGRAPHY VOIDING RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROCYSTOGRAPHY VOIDING RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74455","description":"URETHROCYSTOGRAPHY VOIDING RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":9.658,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROLSS TRVG SEC OPN W/CSTO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53500","description":"URETHROLSS TRVG SEC OPN W/CSTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROLSS TRVG SEC OPN W/CSTO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53500","description":"URETHROLSS TRVG SEC OPN W/CSTO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":474.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":474.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53450","description":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53450","description":"URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53460","description":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53460","description":"URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":293.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":293.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53410","description":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53410","description":"URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":619.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":619.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53400","description":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53400","description":"URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":509.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53405","description":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53405","description":"URETHROPLASTY 2ND STAGE W/URINARY DIVERSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":553.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":553.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY RCNSTJ FEMALE URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53430","description":"URETHROPLASTY RCNSTJ FEMALE URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROPLASTY RCNSTJ FEMALE URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53430","description":"URETHROPLASTY RCNSTJ FEMALE URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":615.373,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53502","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53502","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53505","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53505","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":311.487,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":311.487,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53510","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53510","description":"URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":404.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":404.217,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53010","description":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53010","description":"URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":193.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50650","description":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.875,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50650","description":"URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":655.875,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":655.875,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4333","description":"URIN CATHETER ANCHR DEVICE ADHES SKIN ATTCH EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.596,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.596,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS 2/3 GLASS TEST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81020","description":"URINALYSIS 2/3 GLASS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS 2/3 GLASS TEST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81020","description":"URINALYSIS 2/3 GLASS TEST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.008,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.136,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.136,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81007","description":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81007","description":"URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.184,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.378,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.378,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS MICROSCOPIC ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81015","description":"URINALYSIS MICROSCOPIC ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS MICROSCOPIC ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81015","description":"URINALYSIS MICROSCOPIC ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.684,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.684,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81005","description":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81005","description":"URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.914,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY BLADDER RESIDUAL STUDY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78730","description":"URINARY BLADDER RESIDUAL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY BLADDER RESIDUAL STUDY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78730","description":"URINARY BLADDER RESIDUAL STUDY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":44.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":44.209,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5112","description":"URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.788,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY LEG BAG; VINYL W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4358","description":"URINARY LEG BAG; VINYL W/WO TUBE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A5105","description":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A5105","description":"URINARY SUSPENSORY WITH LEG BAG W/WO TUBE EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.037,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.037,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY UNIDIVERSION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50830","description":"URINARY UNIDIVERSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1130.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINARY UNIDIVERSION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50830","description":"URINARY UNIDIVERSION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1130.822,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1130.822,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82043","description":"URINE ALBUMIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN QUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82043","description":"URINE ALBUMIN QUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.082,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82044","description":"URINE ALBUMIN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE ALBUMIN SEMIQUANTITATIVE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82044","description":"URINE ALBUMIN SEMIQUANTITATIVE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.984,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81025","description":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81025","description":"URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.512,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.576,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.542,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.542,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81001","description":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81001","description":"URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.032,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.794,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.98,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.224,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.058,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84580","description":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84580","description":"UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.112,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.404,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY ANTEGRADE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74425","description":"UROGRAPHY ANTEGRADE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74410","description":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74410","description":"UROGRAPHY INFUSION DRIP  and /BOLUS TECHNIQUE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74400","description":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74400","description":"UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":73.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74415","description":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74415","description":"UROGRAPHY NFS DRIP  and /BOLUS W/NEPHROTOMOGRAPHY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY RETROGRADE WITH/WO KUB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74420","description":"UROGRAPHY RETROGRADE WITH/WO KUB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPHY RETROGRADE WITH/WO KUB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74420","description":"UROGRAPHY RETROGRADE WITH/WO KUB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UROGRAPY INFUSION DRIP  and /BOLUS TECHQ W/WO TOMO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74415","description":"UROGRAPY INFUSION DRIP  and /BOLUS TECHQ W/WO TOMO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.597,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.909,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53515","description":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53515","description":"URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":504.966,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53420","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53420","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":532.51,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":532.51,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53425","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53425","description":"URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":591.723,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":591.723,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53415","description":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":712.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53415","description":"URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":712.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":712.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53431","description":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53431","description":"URTP W/TUBULARIZATION POST URT and /LWR BLDR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":727.012,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY LOWER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50630","description":"URTROLITHOTOMY LOWER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY LOWER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50630","description":"URTROLITHOTOMY LOWER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":564.377,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50620","description":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50620","description":"URTROLITHOTOMY MIDDLE ONE-THIRD URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.164,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.164,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY UPPER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50610","description":"URTROLITHOTOMY UPPER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLITHOTOMY UPPER ONE-THIRD URETER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50610","description":"URTROLITHOTOMY UPPER ONE-THIRD URETER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.871,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLSS RETROCAVAL URTR W/REANAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50725","description":"URTROLSS RETROCAVAL URTR W/REANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROLSS RETROCAVAL URTR W/REANAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50725","description":"URTROLSS RETROCAVAL URTR W/REANAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":695.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":695.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50785","description":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50785","description":"URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":765.666,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"50600","description":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"50600","description":"URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":592.339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":592.339,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"53000","description":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"53000","description":"URTT/URTS XTRNL SPX PENDULOUS URETHRA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.601,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76940","description":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76940","description":"US  AND MNTR PARENCHYMAL TISSUE ABLATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":117.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":117.084,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":54.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":62.711,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76700","description":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76700","description":"US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.076,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76705","description":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76705","description":"US ABDOMINAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76977","description":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76977","description":"US BONE DENSITY MEAS  AND  INTERP PERIPH ANY METHO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76641","description":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76641","description":"US BREAST UNI REAL TIME WITH IMAGE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":67.232,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76642","description":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76642","description":"US BREAST UNI REAL TIME WITH IMAGE LIMITED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76604","description":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76604","description":"US CHEST REAL TIME W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76936","description":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76936","description":"US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":168.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":168.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.19,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76881","description":"US COMPL JOINT R-T W/IMAGE DOCUMENTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.194,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ENDOMYOCARDIAL BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76932","description":"US ENDOMYOCARDIAL BIOPSY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US ENDOMYOCARDIAL BIOPSY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76932","description":"US ENDOMYOCARDIAL BIOPSY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.129,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.129,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76813","description":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76813","description":"US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76814","description":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76814","description":"US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":47.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE AMNIOCENTESIS IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76946","description":"US GUIDANCE AMNIOCENTESIS IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE AMNIOCENTESIS IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76946","description":"US GUIDANCE AMNIOCENTESIS IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE ASPIRATION OVA IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76948","description":"US GUIDANCE ASPIRATION OVA IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE ASPIRATION OVA IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76948","description":"US GUIDANCE ASPIRATION OVA IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":104.1774,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":117.0368,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":94.8586,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76945","description":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76945","description":"US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.929,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":36.872,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76965","description":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76965","description":"US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":61.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76942","description":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76942","description":"US GUIDANCE NEEDLE PLACEMENT IMG S AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.445,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76885","description":"US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":89.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76886","description":"US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":18.711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.384,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76941","description":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76941","description":"US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.976,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.071,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.071,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76882","description":"US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.943,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76857","description":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76857","description":"US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":14.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.692,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76856","description":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76856","description":"US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.08,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76810","description":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76810","description":"US PREG UTERUS  GT  1ST TRIMESTER ABDL EA GESTATIO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.403,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.331,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76802","description":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76802","description":"US PREG UTERUS 14 WK TRANSABDL EACH GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":38.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76805","description":"US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":58.388,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":88.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76812","description":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76812","description":"US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":124.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":124.179,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.46,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76816","description":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76816","description":"US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.498,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":45.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76817","description":"US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":60.247,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76811","description":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76811","description":"US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":115.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":56.749,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":59.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76801","description":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76801","description":"US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.612,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.882,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76815","description":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76815","description":"US PREGNANT UTERUS LIMITED 1 OR GT  FETUSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.042,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76770","description":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76770","description":"US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.928,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76775","description":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76775","description":"US RETROPERITONEAL REAL TIME W/IMAGE LIMITED","negotiated_rates":[{"provider_references":[210414],"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"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SCROTUM  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76870","description":"US SCROTUM  AND  CONTENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SCROTUM  AND  CONTENTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76870","description":"US SCROTUM  AND  CONTENTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76536","description":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76536","description":"US SOFT TISSUE HEAD  AND  NECK REAL TIME IMGE DOCM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":55.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":72.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76873","description":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76873","description":"US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":114.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.312,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.407,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRECTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76872","description":"US TRANSRECTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSRECTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76872","description":"US TRANSRECTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.407,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":130.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRANSVAGINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76830","description":"US TRANSVAGINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":20.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":77.924,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76776","description":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76776","description":"US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.616,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":96.844,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"76937","description":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"76937","description":"US VASC ACCESS SITS VSL PATENCY NDL ENTRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":25.08,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.426,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93352","description":"USE OF ECHO CONTRAST AGENT DURING STRESS ECHO","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"USE VERTICAL ELECTRODES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92547","description":"USE VERTICAL ELECTRODES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.996,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59870","description":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59870","description":"UTERINE EVACUATION  AND  CURETTAGE HYDATIDIFORM MOLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":596.101,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":596.101,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58410","description":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58410","description":"UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":516.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":516.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58400","description":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58400","description":"UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":295.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":295.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UVULECTOMY EXCISION UVULA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"42140","description":"UVULECTOMY EXCISION UVULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"UVULECTOMY EXCISION UVULA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"42140","description":"UVULECTOMY EXCISION UVULA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":202.521,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultralightweight wheelchair","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"K0005","description":"Ultralightweight wheelchair","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":277.497,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2774.816,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2774.816,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VABRA ASPIRATOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4480","description":"VABRA ASPIRATOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58291","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":783.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58291","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":783.145,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":783.145,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58292","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58292","description":"VAG HYST  GT  250 GM RMVL TUBE and /OVARY W/RPR ENTRCLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":824.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":824.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58267","description":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58267","description":"VAG HYST 250 GM OR LT  W/COLPO-URTCSTOPEXY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":676.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":676.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58263","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58263","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE OVARY W/RPR NTRCL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":629.354,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58262","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58262","description":"VAG HYST 250 GM OR LT  W/RMVL TUBE and /OVARY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":587.202,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58280","description":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58280","description":"VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":669.449,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":669.449,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59614","description":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1259.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1570.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59614","description":"VAGINAL DELIVERY  AND  POSTPARTUM CARE VBAC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1259.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1259.39,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1570.481,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1570.481,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59612","description":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1285.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1285.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":974.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59612","description":"VAGINAL DELIVERY AFTER CESAREAN DELIVERY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1285.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1285.13,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":974.039,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":974.039,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59409","description":"VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1174.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3128.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3128.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":863.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59409","description":"VAGINAL DELIVERY ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1174.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1174.118,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3128.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3128.554,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":863.027,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":863.027,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"59410","description":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1170.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1481.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1481.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"59410","description":"VAGINAL DELIVERY ONLY W/POSTPARTUM CARE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1170.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1170.653,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1481.744,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1481.744,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58294","description":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58294","description":"VAGINAL HYSTERECTOMY  GT 250 GM RPR ENTEROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":766.689,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58270","description":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58270","description":"VAGINAL HYSTERECTOMY 250 GM OR LT  W/RPR ENTEROCELE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":566.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":566.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58285","description":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":905.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58285","description":"VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":905.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":905.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58290","description":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":725.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58290","description":"VAGINAL HYSTERECTOMY UTERUS  GT  250 GM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":725.571,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":725.571,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58260","description":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":531.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58260","description":"VAGINAL HYSTERECTOMY UTERUS 250 GM OR LT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":531.894,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":531.894,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58275","description":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":627.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58275","description":"VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":627.913,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":627.913,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPL RMVL VAG WALL  AND  PARAVAG TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57111","description":"VAGINECTOMY COMPL RMVL VAG WALL  AND  PARAVAG TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57110","description":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57110","description":"VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":571.78,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57106","description":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57106","description":"VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.62,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.62,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINECTOMY PRTL RMVL VAG WALL  AND  PARAVAGINAL T","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57107","description":"VAGINECTOMY PRTL RMVL VAG WALL  AND  PARAVAGINAL T","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINOPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57335","description":"VAGINOPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1034.3257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1034.3257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1111.1477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1111.1477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":830.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":830.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":897.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":897.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":961.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":961.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":964.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":964.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGINOPLASTY INTERSEX STATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57335","description":"VAGINOPLASTY INTERSEX STATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":102.8414,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1034.3257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1034.3257,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":111.1248,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":1111.1477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":1111.1477,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":130.9315,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":136.6765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":146.1957,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":699.3814,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":760.9727,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":818.7563,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":830.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":830.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":897.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":897.6492,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":961.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":961.2445,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":964.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":964.952,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":97.5306,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57111","description":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57111","description":"VAGNC COMPL RMVL VAG WAL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57109","description":"VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LYMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1103.267,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"57107","description":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"57107","description":"VAGNC PRTL RMVL VAG WALL W/RMVL PARAVAGINAL TISS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":924.803,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":924.803,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43635","description":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43635","description":"VAGOTOMY PFRMD W/PRTL DSTL GSTRCT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVE FOR BREAST PUMP REPLACEMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4288","description":"VALVE FOR BREAST PUMP REPLACEMENT","negotiated_rates":[{"provider_references":[210414],"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":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33460","description":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1454.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33460","description":"VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1454.442,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.442,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33420","description":"VALVOTOMY MITRAL VALVE CLOSED HEART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":888.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE CLOSED HEART","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33420","description":"VALVOTOMY MITRAL VALVE CLOSED HEART","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":888.613,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":888.613,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33422","description":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1018.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33422","description":"VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1018.556,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1018.556,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33474","description":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1330.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33474","description":"VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1330.461,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1330.461,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34501","description":"VALVULOPLASTY FEMORAL VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY FEMORAL VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34501","description":"VALVULOPLASTY FEMORAL VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":543.818,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33425","description":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1660.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1660.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33425","description":"VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1660.241,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1660.241,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33463","description":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1870.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1870.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33463","description":"VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1870.374,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1870.374,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33464","description":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1486.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33464","description":"VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1486.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.309,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.475,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":200.475,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":200.475,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VARIABLE CONCENTRATION MASK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A4620","description":"VARIABLE CONCENTRATION MASK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74440","description":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"74440","description":"VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":63.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":63.536,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":341.7914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":341.7914,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":367.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":367.7773,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":395.7339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":395.7339,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":405.9211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":405.9211,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":436.7836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":436.7836,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":471.7877,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":471.7877,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63103","description":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63103","description":"VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":181.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63307","description":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1514.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63307","description":"VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1514.469,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1514.469,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63303","description":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1457.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63303","description":"VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1457.313,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1457.313,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63302","description":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1376.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63302","description":"VCRPEC LES 1 SEG XDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1376.925,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1376.925,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63300","description":"VCRPEC LES 1 SGM XDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1151.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63300","description":"VCRPEC LES 1 SGM XDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1151.997,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1151.997,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63301","description":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63301","description":"VCRPEC LES 1 SGM XDRL THORACIC TTHRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.712,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63087","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1526.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1526.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63087","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1526.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1526.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63088","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63088","description":"VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":159.753,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63090","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1226.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63090","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1226.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1226.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63091","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63091","description":"VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95715","description":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":917.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95715","description":"VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":917.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":917.939,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36500","description":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36500","description":"VEN CATHJ SLCTV ORGAN BLD SAMPLING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":111.639,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36425","description":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36425","description":"VENIPUNCTURE CUTDOWN AGE 1 YR OR GT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN UNDER AGE 1 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36420","description":"VENIPUNCTURE CUTDOWN YOUNGER THAN AGE 1 YR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.787,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75840","description":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75840","description":"VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75825","description":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75825","description":"VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.92,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":74.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75827","description":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75827","description":"VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":76.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EPIDURAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75872","description":"VENOGRAPHY EPIDURAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EPIDURAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75872","description":"VENOGRAPHY EPIDURAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":34.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75822","description":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75822","description":"VENOGRAPHY EXTREMITY BILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.768,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.384,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":86.152,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75820","description":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75820","description":"VENOGRAPHY EXTREMITY UNILATERAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.228,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":39.061,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.289,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ORBITAL RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75880","description":"VENOGRAPHY ORBITAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY ORBITAL RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75880","description":"VENOGRAPHY ORBITAL RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":49.962,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.137,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75833","description":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75833","description":"VENOGRAPHY RENAL BILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.966,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":95.81,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75831","description":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75831","description":"VENOGRAPHY RENAL UNILATERAL SELECTIVE RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":31.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.266,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":78.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75870","description":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75870","description":"VENOGRAPHY SUPERIOR SAGITTAL SINUS RS AND I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":107.327,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":37.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.114,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.114,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75860","description":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75860","description":"VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":33.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":82.654,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37160","description":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1375.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37160","description":"VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1375.902,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1375.902,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37140","description":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1443.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37140","description":"VENOUS ANASTOMOSIS OPEN PORTOCAVAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1443.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37145","description":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1339.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37145","description":"VENOUS ANASTOMOSIS OPEN RENOPORTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1339.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1339.921,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37181","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1443.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37181","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1443.134,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1443.134,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"37180","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"37180","description":"VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1322.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1322.64,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"75893","description":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"75893","description":"VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS and","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":53.867,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":69.696,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78458","description":"VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":126.236,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":26.939,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.308,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78457","description":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78457","description":"VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":102.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":80.806,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"34510","description":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"34510","description":"VENOUS VALVE TRANSPOSITION ANY VEIN DONOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":616.605,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":616.605,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69424","description":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69424","description":"VENTILATING TUBE RMVL REQUIRING GENERAL ANES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":83.479,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94002","description":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94002","description":"VENTILATION ASSIST  AND  MGMT INPATIENT 1ST DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":57.156,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94003","description":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94003","description":"VENTILATION ASSIST  AND  MGMT INPATIENT EA SBSQ DA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":40.095,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT NURSING FAC PR DAY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"94004","description":"VENTILATION ASSIST  AND  MGMT NURSING FAC PR DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTILATION ASSIST  AND  MGMT NURSING FAC PR DAY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"94004","description":"VENTILATION ASSIST  AND  MGMT NURSING FAC PR DAY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.4009,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":33.8351,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.0709,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61026","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61026","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":71.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61020","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61020","description":"VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":66.825,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62180","description":"VENTRICULOCISTERNOSTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1013.826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1013.826,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62200","description":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62200","description":"VENTRICULOCISTERNOSTOMY 3RD VENTRICLE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":874.016,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":874.016,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"62201","description":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":777.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"62201","description":"VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":777.381,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":777.381,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOMYOTOMY-MYECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33416","description":"VENTRICULOMYOTOMY-MYECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VENTRICULOMYOTOMY-MYECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33416","description":"VENTRICULOMYOTOMY-MYECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1236.081,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1236.081,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40500","description":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40500","description":"VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":345.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63102","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1452.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1452.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63102","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1452.385,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1452.385,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63101","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1465.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63101","description":"VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1465.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1465.541,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63081","description":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1115.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63081","description":"VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1115.598,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1115.598,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63082","description":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63082","description":"VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":164.483,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63085","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1216.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63085","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1216.765,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1216.765,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63086","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63086","description":"VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":118.019,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63308","description":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63308","description":"VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":197.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":197.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63304","description":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1481.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1481.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63304","description":"VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1481.579,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1481.579,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63305","description":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1574.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1574.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63305","description":"VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1574.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1574.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"63306","description":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1547.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1547.777,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"63306","description":"VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1547.777,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1547.777,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VERY LONG CHAIN FATTY ACIDS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"82726","description":"VERY LONG CHAIN FATTY ACIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.64,"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"}]}]},{"negotiation_arrangement":"ffs","name":"VERY LONG CHAIN FATTY ACIDS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"82726","description":"VERY LONG CHAIN FATTY ACIDS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.64,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.64,"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"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69950","description":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1110.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69950","description":"VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1110.252,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1110.252,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"69915","description":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":956.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"69915","description":"VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":956.879,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":956.879,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ANTERIOR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40840","description":"VESTIBULOPLASTY ANTERIOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ANTERIOR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40840","description":"VESTIBULOPLASTY ANTERIOR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":556.974,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":556.974,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40845","description":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":953.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40845","description":"VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":953.788,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":953.788,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ENTIRE ARCH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40844","description":"VESTIBULOPLASTY ENTIRE ARCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":977.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY ENTIRE ARCH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40844","description":"VESTIBULOPLASTY ENTIRE ARCH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":977.845,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":977.845,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR BILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40843","description":"VESTIBULOPLASTY POSTERIOR BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":779.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR BILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40843","description":"VESTIBULOPLASTY POSTERIOR BILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":779.24,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":779.24,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR UNILATERAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"40842","description":"VESTIBULOPLASTY POSTERIOR UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VESTIBULOPLASTY POSTERIOR UNILATERAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"40842","description":"VESTIBULOPLASTY POSTERIOR UNILATERAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":538.065,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":538.065,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43641","description":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43641","description":"VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.681,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.681,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"43640","description":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":750.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.244,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"43640","description":"VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":750.244,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":750.244,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.921,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.965,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87254","description":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87254","description":"VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87255","description":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87255","description":"VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":21.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.672,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":29.799,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87250","description":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87250","description":"VIRUS INOCULATION EGGS/SM ANIMAL OBS and DSJ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87252","description":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87252","description":"VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.688,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":22.946,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"87253","description":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"87253","description":"VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.928,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.776,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.776,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCOSITY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85810","description":"VISCOSITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISCOSITY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85810","description":"VISCOSITY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.274,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.472,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":32.285,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.791,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":41.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":41.536,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.635,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.635,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":10.076,"expiration_date":"9999-12-31","billing_class":"Professional"},{"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":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":21.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL REINFORCEMENT AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92579","description":"VISUAL REINFORCEMENT AUDIOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VISUAL REINFORCEMENT AUDIOMETRY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92579","description":"VISUAL REINFORCEMENT AUDIOMETRY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":28.369,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":28.369,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":30.7288,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":35.1711,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":40.9829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56640","description":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":973.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56640","description":"VLVCTMY RAD COMPL INGUINOFEM ILIAC and PEL LYMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":973.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33427","description":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1486.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33427","description":"VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1486.309,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1486.309,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"33426","description":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1454.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"33426","description":"VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1454.024,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1454.024,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMORAL/JUGULAR VN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36400","description":"VNPNXR  LT 3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":17.677,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36406","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36406","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL OTHER VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36405","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36405","description":"VNPNXR  LT 3 YEARS PHYS/QHP SKILL SCALP VEIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36410","description":"VNPNXR 3 YEARS OR GT  PHYS/QHP SKILL DX/THER PURPOSES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.715,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOID PRESSURE STUDIES INTRAABDOMINAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"51797","description":"VOID PRESSURE STUDIES INTRAABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOID PRESSURE STUDIES INTRAABDOMINAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"51797","description":"VOID PRESSURE STUDIES INTRAABDOMINAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":110.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":24.673,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":85.536,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLUME MEASUREMENT TIMED COLLECTION EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81050","description":"VOLUME MEASUREMENT TIMED COLLECTION EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VOLUME MEASUREMENT TIMED COLLECTION EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81050","description":"VOLUME MEASUREMENT TIMED COLLECTION EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2.328,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3.201,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3.201,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"92540","description":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"92540","description":"VSTBLR FUNCJ NYSTAG FOVL AND PERPH STIMJ OSCIL TRK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.536,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":48.521,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":68.057,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":969.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":969.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56637","description":"VULVECTOMY RAD COMPL BI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":969.419,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":969.419,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL ILIAC  AND  PELVIC LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56640","description":"VULVECTOMY RAD COMPL ILIAC  AND  PELVIC LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":973.742,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":973.742,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56634","description":"VULVECTOMY RAD COMPL UNI INGUINOFEM LYMPHADEC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":828.784,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56632","description":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":918.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56632","description":"VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":918.434,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":918.434,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56631","description":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56631","description":"VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":758.472,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":758.472,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56633","description":"VULVECTOMY RADICAL COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56633","description":"VULVECTOMY RADICAL COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":735.031,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":735.031,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56630","description":"VULVECTOMY RADICAL PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY RADICAL PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56630","description":"VULVECTOMY RADICAL PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":614.141,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":614.141,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56625","description":"VULVECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE COMPLETE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56625","description":"VULVECTOMY SIMPLE COMPLETE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":429.099,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":429.099,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE PARTIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"56620","description":"VULVECTOMY SIMPLE PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.335,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"VULVECTOMY SIMPLE PARTIAL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"56620","description":"VULVECTOMY SIMPLE PARTIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":379.335,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":379.335,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1032","description":"W/C ACC M SWAWY RET/REM MTG HW JS/OTH DRV CTRL","negotiated_rates":[{"provider_references":[210414],"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":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1033","description":"W/C ACC MAN SWAWY RET/REM MTG HW HEADREST CUSH","negotiated_rates":[{"provider_references":[210414],"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":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1034","description":"W/C ACC MAN SWAWY RET/REM MTG HW TRNK/HIP SUP","negotiated_rates":[{"provider_references":[210414],"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":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"95958","description":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"95958","description":"WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.217,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":329.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":329.373,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":469.392,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":469.392,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4386","description":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4386","description":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":157.234,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":157.234,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L4360","description":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L4360","description":"WALKING BOOT PNEUMATC  and / VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":350.735,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":350.735,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER COLLEC DEV USE W/LG VOL NEB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7012","description":"WATER COLLEC DEV USE W/LG VOL NEB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER COLLEC DEV USE W/LG VOL NEB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7012","description":"WATER COLLEC DEV USE W/LG VOL NEB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4.455,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0198","description":"WATER PRESS PAD MATTRSS STD MATTRSS LENGTH AND WIDTH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":221.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":221.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATER SEAL DRAINAGE CONTAINER  AND  TUBING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7041","description":"WATER SEAL DRAINAGE CONTAINER  AND  TUBING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A7046","description":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A7046","description":"WATR CHAMB HUMDIFIR USED W/POS ARWAY PRSS DEVC R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":19.811,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WB/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9054","description":"WB/RBCS LEUKOCYTES RDUC FRZN DEGLYCEROL WASHD EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WBC ALKALINE PHOSPHATASE COUNT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"85540","description":"WBC ALKALINE PHOSPHATASE COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WBC ALKALINE PHOSPHATASE COUNT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"85540","description":"WBC ALKALINE PHOSPHATASE COUNT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.504,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7.568,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1161.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1010","description":"WC ACCSS ADD PWR SEAT SYS PWR LEG ELEV SYS PAIR","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1161.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1161.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0973","description":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0973","description":"WC ACCSS ADJUSTBL HT DTACH ARMRST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":99.242,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":99.242,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WC ACCSS MANL SWINGAWAY OTH CNTRL INTRFCE/PSTN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0955","description":"WC ACSS HEADREST CUSHNED FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":205.326,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0956","description":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0956","description":"WC ACSS LAT TRNK/HIP SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":100.1,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":100.1,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0957","description":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0957","description":"WC ACSS MED THI SUPP FIX MOUNT HARDWARE EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":140.074,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":140.074,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4944.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4944.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1004","description":"WC ACSS PWR SEAT SYS RECLINE W/MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4944.357,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4944.357,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4459.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4459.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1003","description":"WC ACSS PWR SEAT SYS RECLINE W/O SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4459.466,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4459.466,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5351.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5351.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1005","description":"WC ACSS PWR SEAT SYS RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5351.973,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5351.973,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6555.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6555.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1006","description":"WC ACSS PWR SEAT SYS TILT AND RECLINE NO SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6555.615,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6555.615,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":887.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8876.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8876.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1007","description":"WC ACSS PWR SEAT TILT AND RECLINE MECH SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":887.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":887.689,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8876.901,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8876.901,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8877.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8877.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1008","description":"WC ACSS PWR SEAT TILT and RECLINE W/PWR SHEAR RDUC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8877.539,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8877.539,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0960","description":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0960","description":"WC ACSS SHLDR HRNSS/STRAPS/CHST STRAP W/TYPE MOU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":92.389,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":92.389,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2895.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2895.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1234","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":289.52,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2895.2,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2895.2,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3209.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3209.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1232","description":"WC PED SZ TILT-IN-SPACE FOLD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":320.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":320.98,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3209.8,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3209.8,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3325.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3325.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1233","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/O SEAT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":332.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":332.541,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3325.41,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3325.41,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/SEAT SYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1231","description":"WC PED SZ TILT-IN-SPACE RIGD ADJUSTBL W/SEAT SYS","negotiated_rates":[{"provider_references":[210414],"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":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE EXCISION SKIN NAIL FOLD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"11765","description":"WEDGE EXCISION SKIN NAIL FOLD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":108.35,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"58920","description":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"58920","description":"WEDGE RESCJ/BISCTJ OVARY UNI/BI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":452.738,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":452.738,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CAST EXCEPT CLUBFOOT CASTS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29740","description":"WEDGING CAST EXCEPT CLUBFOOT CASTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CAST EXCEPT CLUBFOOT CASTS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29740","description":"WEDGING CAST EXCEPT CLUBFOOT CASTS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WEDGING CLUBFOOT CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29750","description":"WEDGING CLUBFOOT CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":70.73,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"Q0111","description":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"Q0111","description":"WET MOUNTS INCL PREP VAGINAL CERV/SKIN SPECIMENS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":16.005,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1028","description":"WHEELCHAIR ACC MAN SWAWY RET/REM MTG HW OTHER","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":169.29,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":209.737,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0982","description":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0982","description":"WHEELCHAIR ACCESS BACK UPHLSTR REPLCMT ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2210","description":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2210","description":"WHEELCHAIR ACCESS BEARINGS ANY TYPE REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":6.644,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":6.644,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0990","description":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0990","description":"WHEELCHAIR ACCESS ELEV LEG REST CMPL ASSMBL EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":101.365,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4115.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4115.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1002","description":"WHEELCHAIR ACCESS POWER SEATING SYSTEM TILT ONLY","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":4115.859,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":4115.859,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0995","description":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0995","description":"WHEELCHAIR ACCESSORY CALF REST/PAD REPL ONLY EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":30.866,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":30.866,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2207","description":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2207","description":"WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.073,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E2208","description":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2208","description":"WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":120.626,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E2301","description":"WHEELCHAIR ACCESSORY POWER STANDING SYS ANY TYPE","negotiated_rates":[{"provider_references":[210414],"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":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0985","description":"WHEELCHAIR ACCESSORY SEAT LIFT MECHANISM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":241.12,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":258.83,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":258.83,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY TRAY EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0950","description":"WHEELCHAIR ACCESSORY TRAY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY TRAY EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0950","description":"WHEELCHAIR ACCESSORY TRAY EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":105.567,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1029","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY FIXED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":375.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":375.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1183.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1543.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1030","description":"WHEELCHAIR ACCESSORY VENTILATOR TRAY GIMBALED","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1183.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1183.358,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1543.63,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1543.63,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR MGMT EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"97542","description":"WHEELCHAIR MGMT EA 15 MIN","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHEELCHAIR PEDIATRIC SIZE NOS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1229","description":"WHEELCHAIR PEDIATRIC SIZE NOS","negotiated_rates":[{"provider_references":[210414],"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":"WHEELCHAIR TRANSIT SECUR SYS INCL ALL COMP  and  ACC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1023","description":"WHEELCHAIR TRANSIT SECUR SYS INCL ALL COMP  and  ACC","negotiated_rates":[{"provider_references":[210414],"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":"WHEELCHAIR TRANSPORTATION SECUREMENT SYS ANY TYP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1022","description":"WHEELCHAIR TRANSPORTATION SECUREMENT SYS ANY TYP","negotiated_rates":[{"provider_references":[210414],"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":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3931","description":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3931","description":"WHFO PREFABRICATED INCL FITTING  AND  ADJUSTMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":173.888,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0155","description":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0155","description":"WHL ATTCH RIGD PICK-UP WALK-PAIR SEAT ATTCH WALK","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.225,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":27.456,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":27.456,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1226","description":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1226","description":"WHLCHAIR ACCESS MANUAL FULL RECLINING BACK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":666.215,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":666.215,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1225","description":"WHLCHAIR ACCESS MANUAL SEMIRECLINING BACK EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":551.87,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":551.87,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E0978","description":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E0978","description":"WHLCHAIR ACSS PSTN BELT/SFTY BELT/PELV STRAP EA","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":43.362,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":43.362,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1236","description":"WHLCHAIR PED SIZE FOLD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2787.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2787.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1235","description":"WHLCHAIR PED SIZE RIGD ADJUSTBL W/SEATING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":278.795,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2787.95,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2787.95,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1238","description":"WHLCHAIR PED SZ FOLD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":245.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2459.6,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2480.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"E1237","description":"WHLCHAIR PED SZ RIGD ADJUSTBL W/O SEATING SYSTEM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":248.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":248.094,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2480.94,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2480.94,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"P9056","description":"WHOLE BLD LEUKOCYTES REDUCED IRRADIATED EA UNIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERM PLASMA AND RED CELL VOLU","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERM PLASMA AND RED CELL VOLU","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERMINATION","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERMINATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE BLOOD VOLUME DETERMINATION","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"78122","description":"WHOLE BLOOD VOLUME DETERMINATION","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.958,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":52.844,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":65.791,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE MITOCHONDRIAL GENOME","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81460","description":"WHOLE MITOCHONDRIAL GENOME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1132.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE MITOCHONDRIAL GENOME","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81460","description":"WHOLE MITOCHONDRIAL GENOME","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1132.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1132.56,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81465","description":"WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81465","description":"WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":599.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":599.04,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":823.68,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":823.68,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WINDOWING CAST","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"29730","description":"WINDOWING CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WINDOWING CAST","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"29730","description":"WINDOWING CAST","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":42.559,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6550","description":"WND CARE SET NEG PRSS WND TX ELEC PUMP SPL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND POUCH EACH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"WOUND POUCH EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WOUND POUCH EACH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A6154","description":"WOUND POUCH EACH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":284.075,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":284.075,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3916","description":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3916","description":"WRIST HAND ORTHOSIS 1 OR GT  NONTORSION JOINT PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3915","description":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3915","description":"WRIST HAND ORTHOSIS 1 OR GT NONTORSION JNT PRFAB CSTM","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":479.732,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L3908","description":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L3908","description":"WRIST-HAND ORTHOSIS EXT CONTROL COCK-UP PREFAB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":93.478,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":93.478,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6050","description":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2197.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2197.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6050","description":"WRST DISARTIC MOLD SOCKET FLEX ELB HNG TRICP PAD","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":2197.415,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":2197.415,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6055","description":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3281.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3281.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6055","description":"WRST DISARTIC MOLD SOCKT W/XPNDABLE INTERFCE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":3281.091,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":3281.091,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6925","description":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8613.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8613.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6925","description":"WRST DISARTIC OTTO BOCK/ Equal to MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8613.209,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8613.209,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"L6920","description":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7875.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7875.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"L6920","description":"WRST DISARTIC OTTO BOCK/ Equal to SWTCH CNTRL TERM DEVICE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":7875.703,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":7875.703,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional","service_code":["03","11","16","17"]},{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81471","description":"X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81471","description":"X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"81470","description":"X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"81470","description":"X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":584.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":584.96,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":804.32,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":804.32,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"74420","description":"X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.422,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":35.981,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":51.601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":51.601,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":309.8601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":309.8601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":354.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":354.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":378.8664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":378.8664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":433.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":433.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":473.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":473.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":518.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":518.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":289.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":289.9198,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":309.8601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":309.8601,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":339.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":339.2863,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":354.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":354.0495,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":378.8664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":378.8664,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":415.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":415.3402,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":433.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":433.9779,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":473.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":473.2908,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":518.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":518.6826,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":64.1297,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":69.0063,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":76.0538,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9558","description":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9558","description":"XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61558","description":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1192.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61558","description":"XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1192.092,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1192.092,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"61559","description":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1516.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"61559","description":"XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1516.526,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1516.526,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36861","description":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36861","description":"XTRNL CANNULA DECLTNG SPX W/BALO CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":84.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"36860","description":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"36860","description":"XTRNL CANNULA DECLTNG SPX W/O BALO CATH","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":149.886,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG  AND  48 HR RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93225","description":"XTRNL ECG  AND  48 HR RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG  and  48 HR RECORD SCAN STOR W/R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93224","description":"XTRNL ECG  and  48 HR RECORD SCAN STOR W/R and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG CONTINUOUS RHYTHM W/I and R UP TO 48 HRS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93227","description":"XTRNL ECG CONTINUOUS RHYTHM W/I and R UP TO 48 HRS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93225","description":"XTRNL ECG REC LT 48 HRS RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93225","description":"XTRNL ECG REC LT 48 HRS RECORDING","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":12.133,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93224","description":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93224","description":"XTRNL ECG REC LT 48 HRS RECORDING SCAN A/R R and I","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":46.464,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93227","description":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93227","description":"XTRNL ECG REC LT 48 HRS RVW and INTERPJ PHYS/QHP","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.517,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93226","description":"XTRNL ECG REC LT 48 HRS SCANNING A/R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL ECG REC LT 48 HRS SCANNING A/R","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93226","description":"XTRNL ECG REC LT 48 HRS SCANNING A/R","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":23.023,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST  and  SUBQ","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20696","description":"XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST  and  SUBQ","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":746.955,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":746.955,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"20697","description":"XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1138.423,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93228","description":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93228","description":"XTRNL MOBILE CV TELEMETRY W/I and REPORT 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.829,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":706.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":706.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":808.9364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":808.9364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":942.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":942.6068,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93229","description":"XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":706.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":706.763,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":808.9364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":808.9364,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":942.6068,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":942.6068,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.848,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":13.365,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.213,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93268","description":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93268","description":"XTRNL PT ACTIV ECG TRANSMIS W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":112.255,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93271","description":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93271","description":"XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":122.9153,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":140.6846,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":163.9316,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93270","description":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93270","description":"XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":5.346,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"93272","description":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"93272","description":"XTRNL PT ACTIVTD ECG DWNLD W/R and I  LT 30 DAYS","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":15.004,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I AND D FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41018","description":"XTRORAL I AND D FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I AND D FLOOR MASTICATOR SPACE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41018","description":"XTRORAL I AND D FLOOR MASTICATOR SPACE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":343.772,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41015","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41015","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":263.175,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":263.175,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41016","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41016","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMENT","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":304.502,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"41017","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"41017","description":"XTRORAL I and D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":303.27,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":303.27,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XYLOSE ABSORPTION TEST BLOOD  and /URINE","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"84620","description":"XYLOSE ABSORPTION TEST BLOOD  and /URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.264,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"XYLOSE ABSORPTION TEST BLOOD  and /URINE","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"84620","description":"XYLOSE ABSORPTION TEST BLOOD  and /URINE","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":11.363,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":8.264,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":8.264,"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","billing_code_type":"CPT","billing_code_type_version":null,"billing_code":"A9543","description":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"A9543","description":"YTTRIUM Y-90 IBRITUMOMAB TIUXETAN TX TO 40 MCI","negotiated_rates":[{"provider_references":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"RVS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"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":[210414],"negotiated_prices":[{"setting":"both","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"STANDARD","negotiated_rate":1.496,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}